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Taylor’s Produce Summer Employment Application

Name

First Name

Last Name

Birthday

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

Legal Guardian

First Name

Last Name

Guardian Phone

Current School

Grade Entering in Fall

Driver's License

Driving Record

Have you had any driving violations or accidents in the past year? If yes, please explain.

Extracurricular Activities

Please list Sports, Clubs, Organizations, Hobbies, etc.

Vacations

Please list any known vacations, camps, sports events, etc. requiring extended time off during the summer.

Past Employment

Please list past employer name & phone number, with description of duties performed.

References

Please provide (2) NON-FAMILY References, including Name, Phone Number, & Relationship to You.

How did you hear about this job opportunity?

I certify that the information provided is truthful and accurate. I understand that providing false or misleading information is basis for rejection of my application or, if I am hired, termination of employment.

I understand that if I am under 18 years old, I must provide a valid work permit before I am allowed to begin work.

I authorize C.W. Taylor Farms, LLC. to contact former employers, educational organizations, and references regarding my past employment and education. I authorize those persons designated as references to freely and freely communicate information regarding my past employment and education.

I understand that, if an employment relationship is created , it is voluntary in nature. C.W. Taylor Farms, LLC. has full and complete discretion to end the relationship at any time. With appropriate notice, I have the full and complete discretion to end the relationship when I choose for reasons of my choice.

preston | st. michael's | seaford | easton | oxford