Employment Application

General Information

+Name

Have you ever been employed by Rich Farms, Inc.?

Yes No

when? 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990

+Phone hm (numbers only, no spaces or dashes)

Phone cell (numbers only, no spaces or dashes)

Email

Are you legally eligible to accept employment in America?

Yes No

+Address

When are you available to work?

ASAP Other

Previous Address

Date of Birth

Position

Education

Institution

Graduate?

Graduation Year

Work Experience

Company Name

Duties

Position

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Company Name

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Highlight skills relevant to the position(s) sought:

Fright Farm applicants:

It is necessary to work Fridays, Saturdays and Sundays. 80% of the Fright Farm attendance is during the weekends. Job is only for the days between September 22 and November 1, 2007. If there are days in which you cannot work, you must indicate on which days you will not be available on this application. Dress in old black clothes to work most shifts. Work is hourly starting at $6 per hour and up. Pay day is once per week. Each employee receives 1 free comp pass for each 5 shifts worked.

Most casting is done between September 15-21.

If you want to work on the construction end, we start in July

If you want to be a food or merchandise vendor, please note:

"I Certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."

Yes No