Long & Scott Farms - Farm Application

Cell Phone Number:

Desired Schedule:

Position applying for:

Are you legally able to work in the United States?

Have you ever been convicted of a crime?

Have you been in a motor vehicle accident in the last 7 years?

Do you have your own transportation?

Are you a team player?

Do you have experience in Farming?

Do you have cashier experience?

Do you know how to operate a tractor?

Do you know how to operate a forklift?

What level of personal computer skills do you have?

Please describe your personal computer experience:

School most recently attended (Name, Address, Phone and email.):

Most recent employer (Name, Address, Phone, Supervisor's and Email.):

Are you currently employed?

May we contact them?

Reason for leaving:

Employer (Name, Address, Phone, Supervisor's and Email.):

May we contact them?

Reason for leaving:

Personal Reference #1 (Name, Address, Phone, and Email.):

Relation to applicant:

Personal Reference #2 (Name, Address, Phone, and Email.):

Relation to applicant:

Professional Reference #1 (Name, Address, Phone and email) (Do not include family members):

How would you describe yourself?

What types of work do you enjoy doing?

What type of activities do/did you enjoy most in school?

What classes do/did you enjoy most in school?

What type of experience do you have with children?

What words or phrases best describe you? Check all that apply.

Analytical
Patient
Bottom Line
Life of the party
Bubbly
Generous
Kind
Reserved
Quiet

If you have any other skills or experience with children, animals, or people list below:

Electronic Signature (by typing your name in this section you agree to the information submitted on this application and to the Application Form Waiver. You agree that your typing your name in this field is the same as you signing your name on a paper application?

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Name:
Street Address:
City
Zip Code
Email Address:
Phone Number:
Cell Phone Number:
We require social security numbers and drivers licesnse numbers to be eligible for employment. We do perform background and drivers license checks. If you do not wish to put this information on this application and still want to be considered for employment, please call our office at 352-383-6900 to provide it. You may also come into the office to fill out the application so we have all information necessary to processes it.
SS#:
DL#:
Desired Schedule:	Full Time Part Time
Position applying for:
Desired Wage:
Are you legally able to work in the United States?	Yes No
Have you ever been convicted of a crime?	Yes No
Have you been in a motor vehicle accident in the last 7 years?	Yes No
Do you have your own transportation?	Yes No
Are you a team player?	Yes No
Do you have experience in Farming?	Yes No
Do you have cashier experience?	Yes No
Do you know how to operate a tractor?	Yes No
Do you know how to operate a forklift?	Yes No
What level of personal computer skills do you have?
Please describe your personal computer experience:
School most recently attended (Name, Address, Phone and email.):
Most recent employer (Name, Address, Phone, Supervisor's and Email.):
Are you currently employed?	Yes No
Position Held:
May we contact them?	Yes No
Reason for leaving:
Employer (Name, Address, Phone, Supervisor's and Email.):
Position Held:
May we contact them?	Yes No
Reason for leaving:
Personal Reference #1 (Name, Address, Phone, and Email.):
Relation to applicant:
Years known:
Personal Reference #2 (Name, Address, Phone, and Email.):
Relation to applicant:
Years known:
Professional Reference #1 (Name, Address, Phone and email) (Do not include family members):
How would you describe yourself?
What types of work do you enjoy doing?
What type of activities do/did you enjoy most in school?
What classes do/did you enjoy most in school?
What type of experience do you have with children?
What words or phrases best describe you? Check all that apply.	Analytical Patient Bottom Line Life of the party Bubbly Generous Kind Reserved Quiet
If you have any other skills or experience with children, animals, or people list below:
Application Form Waiver Please click on the link above and read in it's entirety, sign your electronic signature at the bottom. Failure to fill this out will keep you out of consideration for any position with our organization:
Electronic Signature (by typing your name in this section you agree to the information submitted on this application and to the Application Form Waiver. You agree that your typing your name in this field is the same as you signing your name on a paper application?