Employment Application - Riehm Produce Farm

Name

First

Last

Email

Phone Number

Citizen education, and

Are you a Citizen of the United States?*

Yes
No

If not, are you legally allowed to work in the United States?

Yes
No

Have you ever been convicted of a crime?

Yes
No

If yes, give dates and details.

Were you referred by someone? If so, who?

What is your education level?*

Current and Previous Work History:

Days I'm available to work.

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, education, financial, and other related matters as may be necessary for an employment decision. I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

I agree to the terms above.