Team Member Application

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EMPLOYMENT APPLICATION

Name*

Email*

Phone Number*

Address*

Date of Birth*

Are you a Citizen of the United States?*

If not, are you legally allowed to work in the United States?

Have you ever been convicted of a crime?*

If yes, give dates and details.

Have you ever worked at DeBuck's?*

If yes, when?

Were you referred by a current employee? If so, who?

EDUCATION

What is your education level?*

PREVIOUS EMPLOYMENT

Have you previously been employed?*

Check this box if you are currently employed by this company

WORK AVAILABILITY

Please review your personal calendar to confirm your general availability for work during September and October. While we can accommodate your schedule to some degree, it is important to note that during the peak season, our greatest need for assistance is on weekends.

Days I'm available to work.*

Thursdays
Fridays
Saturdays
Sundays

Position you are interest in.*

Bakery
Tractor Driver
Cashier
Barn Yard
Concessions
Greeter

Starting Wages:

Barn Yard $10 -12

Cashiers $12-15

Leads $16+

Bakery $16+

Tractor Drivers $20+

*Please note that these are initial salary rates. At DeBuck's, if you prove to be a suitable match by demonstrating strong work ethics, a positive attitude, excellent customer service, and a friendly smile, you can earn more.

DISCLAIMER & SIGNATURE

Terms*

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, education, financial, and other related matters as may be necessary for an employment decision.

I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

I, the undersigned, agree to the terms above.

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