JOB APPLICATION

Your Name *

First Name

Last Name

Today's Date *

MM

DD

YYYY

Phone Number *

(###)

###

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Position Desired *

Crew Member

Irrigation Tech.

Asst. Foreman

Foreman

Driver

Operator

Type of Employment Desired

Full Time

Part TIme

Have you been employed here before? *

Yes

No

Have you applied here before? *

Yes

No

Do you have a Class A CDL license with air brakes? *

Yes

No

DO YOU HAVE A CHAFFAUERS LICENSE? *

Yes

No

WOULD YOU BE WILLING TO TAKE A PRE-EMPLOYMENT DRUG TEST?

Yes

No

ARE YOU WILLING TO WORK OVER 40 HOURS per WEEK? *

At paid time and a half

Yes

No

WHAT DAYS ARE YOU AVAILABLE TO WORK? *

Please select

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

ARE YOU CURRENTLY ENROLLED, OR WILL YOU BE ATTENDING SCHOOL? *

Yes

No

IF YES; START DATE:

MM

DD

YYYY

Start Time

Hour

Minute

Second

AM PM

Reference Name *

First Name

Last Name

Reference Phone Number *

(###)

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