Dutchess County Fairgrounds Application For Seasonal Employment

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Dutchess County Fairgrounds
Application for Seasonal Employment
The Dutchess County Agricultural Society is equal opportunity employers. Federal and state laws prohibit discrimination
in employment with respect to race, sex, national origin, religion, age, disability and sexual preference. The “employee
handbook” provided at the time of employment describes the conditions of employment in respect to this co-employment
relationship and other important employment ground rules.
*Name_____________________________________ *Home Phone#(_____)______________
(Last, First, Middle Initial)
*Cell Phone # (
) ______________
*Mailing Address ___________________________ *Email address_____________________
___________________________________________ *Date of Birth _____________________
___________________________________________ If under 18 yrs of age
___________________________________________ Do you have current working papers?
Yes _______ No________
Emergency Contact:
Name_______________________________________ Phone # _______________________
*Position(s) desired _________________________________________________________
*Date available to start work _____________
*Availability to work
- Full-time -
-Part-time -
(circle all that apply to you)
*Have you ever been convicted of a crime? Yes No
If yes, please list the nature, dates and location of the crime(s). __________________________________________
(Please use additional paper if more space is needed.)
*Are you legally authorized to work in the United States?
Yes
No
* Are You currently employed? Yes No
*Education
(List most recent first)
School/Univ.
Dates Attended*
Degree/Diploma/
Major
GPA/Grade
City/State
Certificate
Course of study
Major & Overall
(*except for HS)
1.
2.
3.
High School or
Equivalent

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