LOC Job Application

Lakeland Orchard & Cidery - Job Application

If you are committed to working at least 16 hours per week please fill out this application.
Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
General Information
What job are you interested in applying for? *
Who referred you for this job? *
If you are younger than 18, what is your birth date?

Month Day Year
Date
Lakeland Orchard & Cidery is dedicated to providing our guests memories that last a lifetime. What will you do to help us achieve this goal? *
Education
High School *
From *

Month Day Year
Date
To *

Month Day Year
Date
College
From

Month Day Year
Date
To

Month Day Year
Date
Previous Employment
Employment 1
Company Name
Phone Number

Area Code Phone Number
Employment 2
Company Name
Phone Number

Area Code Phone Number
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
When we call your previous employers & references what will they say about you? *
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
Should be Empty:

Lakeland Orchard & Cidery - Job Application

General Information

Education

Previous Employment

References

Signature