Application For Employment Form - Riddle Plant Farm

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Riddle Plant Farm
3510 Summit Blvd. • Sand Springs, OK 74036 • (918) 245-3158
APPLICATION FOR EMPLOYMENT
Date
________________________________
(MM/DD/YYYY)
Personal Information
Last Name
First Name
Middle Name
Address
City
State
| Zip
Cell Phone
Day/Other Phone
Social Security Number
Employment Information
Position(s) for which you are applying: ________________________________________________________________________________________________________________________________________
Please list current availability below
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are you employed at the present time?
YES or NO
(Circle)
1. If offered a position, when can you report for work?
_________________________
2. If hired, can you show proof of your legal right to work in the U.S.?
YES or NO
(Circle)
3. Are you at least 18 years old?
YES or NO
(Circle)
4. Can you provide a valid Oklahoma State ID?
YES or NO
(Circle)
5. Have you ever been dismissed or asked to resign from any position?
YES or NO
(Circle)
6. Have you ever been convicted of a felony or misdemeanor which resulted in imprisonment?*
(
YES or NO
Circle)
(*A yes answer to the question above does not necessarily disqualify any applicant from employment)
If yes to question 5 or 6, please explain:
_____________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________
Education
Please list all schools attended and any other pertinent information about your education.
School(s)
Subjects Studied (if applicable)
Graduate?
High School
Circle
YES or NO
College
Circle
YES or NO
Other
Circle
YES or NO
Contact
In case of emergency, accident or illness, please contact:
Name
Telephone
Alternate Telephone
Relationship

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