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Personal Information

Name*

First Middle Last

Email*

Phone*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

What Position are You Applying For?*

Desired Pay

Date Available*

Untitled

Hourly

Salary

Employment Desired:

Full Time

Part Time

Seasonal

Employment Eligibility

Are you legally eligible to work in the U.S.?

Yes

Have you ever worked for this employer?

Yes

From:

If yes, enter the start date.

To:

If yes, enter the end date.

Have you ever been convicted of a felony?

Yes

If yes, please explain:

Tell us why you would be a good fit for Fluffy Feather Farm?**

Education

High School

City

Start Date

End Date

Did you graduate?

Yes

Diploma

College

City

Start Date

End Date

Did you graduate?

Yes

Diploma

Other Education

City

Start Date

End Date

Degree/Certification

Previous Employment

Employee 1: Company/Individual

Phone

Mailing Address

Street Address Address Line 2 City State ZIP Code

Responsibilities:

Start Date

End Date

Employer 1: Reason for Leaving

Employee 2: Company/Individual

Phone

Mailing Address

Street Address Address Line 2 City State ZIP Code

Responsibilities:

Start Date

End Date

Employer 2: Reason for Leaving

References (Professional & Personal)

Reference #1: Full Name

Relationship

Company/Organization

Title

Reference #2: Full Name

Relationship

Company/Organization

Title

Reference #3: Full Name

Relationship

Company/Organization

Title

Military Service

Are you a Veteran?

Yes

Branch

Rank at Discharge

Start Date

End Date

Type of Discharge:

Honorable

Honorable Conditions General

Other

If not Honorable, please explain:

Background Check Consent

If asked, are you willing to submit to a drug screening and background check?

Yes

Disclaimer/Signature

Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN IF you decide to attach a resume.

I agree

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

I agree

By clicking this box you provide express written consent indicating a willingness for us to call you, email you or contact you via SMS/MMS. Standard messaging and data rates apply. Text STOP to opt-out at anytime

I agree

Please Type Your Full Name to Sign Electronically*

Today's Date*

If you have a resume and would like to attach it, please upload it here. Accepted file formats: .docx.pdf, .doc,

Max. file size: 50 MB.

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Personal Information

Employment Eligibility

Education

Previous Employment

References (Professional & Personal)

Military Service

Background Check Consent

Disclaimer/Signature