Employment Opportunities

Personal Information
Today's Date*
Date Format: MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Enter Email Confirm Email
Are you 18 years or older?*
- Yes
- No
If not, you may be required to submit a work permit
Are you legally able to work in the US?*
- Yes
- No
Dickey Farms is required to comply with all federal and state employment laws.
Do you have reliable form of transportation to and from work?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No

Work Schedule & Availability
What date are you available to begin work?*
Date Format: MM slash DD slash YYYY
Are you available on the weekends?*
- Yes
- No
What hours can you work? We are open from 7:45am - 6:30pm
What times on Monday?*
Please include "from" and "to" in your submission. Ex: From 8:30am to 6:30pm
What times on Tuesday?*
Please include "from" and "to" in your submission. Ex: From 8:30am to 6:30pm
What times on Wednesday?*
Please include "from" and "to" in your submission. Ex: From 8:30am to 6:30pm
What times on Thursday?*
Please include "from" and "to" in your submission. Ex: From 8:30am to 6:30pm
What times on Friday?*
Please include "from" and "to" in your submission. Ex: From 8:30am to 6:30pm
What times on Saturday?*
Please include "from" and "to" in your submission. Ex: From 8:30am to 6:30pm
What times on Sunday?*
Please include "from" and "to" in your submission. Ex: From 8:30am to 6:30pm
Are there any days you are NOT able to work?*
- Yes
- No
Which days will you not be able to work?

Education and Past Employment Experience
School presently attending or most recently attended:*
Last grade completed (or if in college, your major):*
Employment History:*
Provide position, company name, and dates:
What are your strengths?*
Please list 2
Reference #1*
Please provide Individual name, company, email and phone number.
Reference #2*
Please provide Individual name, company, email and phone number.
Upon being hired and report to work, you will have to provide TWO pieces of identification. For example, state driver's license or state picture identification card AND social security card or certified birth certificate. Dickey Farms, Inc., is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, nation origin, the presence of mental, physical or sensory disability, sexual orientation, or any other basis prohibited by federal or state law.
Name
This field is for validation purposes and should be left unchanged.

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