Blueberry Picker Job Application

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 NameLast Name
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Best Time to Call
Email
example@example.com
When can you start?

MonthDayYear
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)
Have you been convicted of a crime?
Are you a US Citizen?
Do you have transportation to and from work?
If hired, are you willing to submit to and pass a controlled substance test?
Do you speak, write or understand any foreign Languages?
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?
In case of emergency, Notify
(Include name, phone, relationship)
Resume Upload (optional)

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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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Blueberry Picker Job Application

Personal Information

References

Availability

Disclaimer