LOC Job Application

Lakeland Orchard & Cidery - Job Application

Please complete the form below to apply for a position with us.
Name

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Street Address
Address Line 2
City
State
Zip Code
General Information
If referred to by someone, enter their first and last name:
In case of an emergency, please notify:
Name

First Name Last Name
Phone Number

Area Code Phone Number
If you are younger than 18, how old are you?
Do you have transportation to work?

Yes No
Have you ever been arrested?

Yes No
If yes, please explain:
Have you ever been convicted of a misdemeanor or felony?

Yes No
If yes, please explain:
What interests you about working for Lakeland Orchard & Cidery? What do you hope to gain from this experience?
We require a minimum of 15 hours of availability per week. Do you meet this minimum?

Yes No
Education
High School
From

Month Day Year
Date Date Picker Icon
To

Month Day Year
Date Date Picker Icon
Did you graduate?

Yes No
Did you attend college?

Yes No
If yes, where?
Degree:
Previous Employment
Employment 1
Company Name
Phone Number

Area Code Phone Number
Street Address
Address Line 2
City
State
Zipcode
Title/Job Responsibilities
From Date

Month Day Year
Date Date Picker Icon
To Date

Month Day Year
Date Date Picker Icon
Reason for leaving?
Employment 2
Company Name
Phone Number

Area Code Phone Number
Street Address
Address Line 2
City
State
Zipcode
Title/Job Responsibilities
From Date

Month Day Year
Date Date Picker Icon
To Date

Month Day Year
Date Date Picker Icon
Reason for leaving?
References
Reference 1
Name

First Name Last Name
Phone Number

Area Code Phone Number
Reference 2
Name

First Name Last Name
Phone Number

Area Code Phone Number
Reference 3
Name

First Name Last Name
Phone Number

Area Code Phone Number
Signature
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained within and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information."
Signature
Enter your name to sign
Date

Month Day Year
Date Date Picker Icon
Should be Empty:

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Lakeland Orchard & Cidery - Job Application

General Information

Education

Previous Employment

References

Signature