Job Application

Country Blossom Farm is an equal opportunity employer.
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Personal Information

First Name:
Your First Name
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Last Name:
Your Last Name
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Are you 18 years of age or older?*
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If hired, can you furnish proof you are eligible to work in the U.S.? *
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Address:
Your Address
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City:
City
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State/Region/Province
State/Region/Province Address
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Postal/Zipcode:
Postal/Zipcode:
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- select your country -
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Email:
Your E-mail Address
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Phone:
Your Phone Number
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Skills/Training Requirements

All positions require staff to be standing the majority of a shift & to lift 40lbs. Do you think you can fulfill this requirement? *
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What skills or additional training do you have the relate to the job for which you are applying? *
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What machines or equipment can you operate that relate to the job for which you are applying? *
Specify your answer... (if none write NA)
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Do you have any experience in a supervisory role? *
Specify your answer... (if none write NA)
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Previous/Current Employment #1

Company Name:
Company Name
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Date of Joining
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Date of Leaving
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Job Titles and Duties
Job Titles and Duties
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Reason for Leaving
Reason for leaving
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Previous/Current Employment #2

Company Name:
Company Name
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Date of Joining
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Date of Leaving
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Job Titles and Duties
Job Titles and Duties
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Reason for Leaving
Reason for leaving
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Reference #1

First Name:
First Name
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Last Name:
Last Name
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Email:
E-mail Address
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Phone:
Phone Number
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Reference #2

First Name:
First Name
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Last Name:
Last Name
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Email:
E-mail Address
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Phone:
Phone Number
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When could you start working?*
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Resume
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