Hourly Employment Application

This application is for adults at least 18 years old. Do You Qualify? *

Contact Information

Name *

First

Middle

Last

Date of birth *

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Home Phone *

Mobile Phone *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

How did you hear about this job?

Employment History

Have you worked for Biringer Farm before? *

If yes, how many years (not including this year)?

Selected Value: 0

Attach Resume

Click or drag a file to this area to upload.

File formats accepted: .doc, .txt, .rtp, .pdf

If not attaching a resume, provide your previous work experience here.

References

Three PROFESSIONAL references are required to be included with this application to be considered for hourly employment.

Reference #1 Name *

First

Last

Reference #1 Phone *

Reference #1 Email *

Reference #2 Name *

First

Last

Reference #2 Phone *

Reference #2 Email *

Reference #3 Name *

First

Last

Reference #3 Phone *

Reference #3 Email *

Have you ever been convicted of any criminal offense, or have charges currently pending? *

No
Yes

If yes, indicate nature of offense(s), dates(s), court(s) and dispositions(s) below. (A conviction will not automatically disqualify an applicant from employment, but misrepresentation of criminal history will.)

Please read before submitting! *

I Understand

By submitting this application, you attest that the information you have provided is true to the best of your knowledge. Biringer Farm may submit a Criminal History Record check through the Washington State Patrol, pursuant to RCW 10.97. Providing false or misleading information is cause for immediate termination. This is a seasonal worker position. Although we cannot guarantee employment in future years, it is generally the company policy to offer work next year if your work is acceptable this year. We assume that you are interested in continuing employment in the coming seasons, so please let us know if your plans change.