Blueberry Picker Job Application
Blueberry Picking takes place every day from mid-July until the season ends, usually mid-August. Picking hours are from 7am-12pm. No experience necessary, on the job training, flexible schedule. Minimum wage.
Personal Information
Name
*
First Name
Last Name
Present Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Best Time to Call
Daytime
Evening
Either
Email
*
example@example.com
When can you start?
*
-
Month
-
Day
Year
Date
Are you under the age of 18? (If under 18, hire is subject to verification of minimum legal age, Employment Certificates or Permits may be required)
*
Yes
No
Have you been convicted of a crime?
*
Yes
No
Are you a US Citizen?
*
Yes
No
Do you have transportation to and from work?
*
Yes
No
If hired, are you willing to submit to and pass a controlled substance test?
*
Yes
No
Do you speak, write or understand any foreign Languages?
*
Yes
No
How were you referred to Liberty Ridge Farm?
Do you have any experiences, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for a position?
If yes, please explain...
References
Give the names of two persons not related to you whom you have known at least one year. If you know someone who works at Liberty Ridge Farm, you may use their name.
Reference #1
Be sure to include their name, relationship to you, a phone number, and a year you were acquainted.
Reference #2
Be sure to include their name, relationship to you, a phone number, and a year you were acquainted.
Reference #3
Be sure to include their name, relationship to you, a phone number, and a year you were acquainted.
Availability
Are there days that you are available 7 am-12 pm?
Yes
No
In case of emergency, Notify
(Include name, phone, relationship)
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Disclaimer
By submitting this form, I hereby certify that all the information above is true and complete. I understand that all information is subject to verification. I consent that you may contact references, former employers and educational institutions regarding this application. I also consent to criminal history background checks.
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