Your Resume(doc, docx, pdf)
Your Name(Last, First, Middle)*
Main Phone*
Email Address*
Present Address(Street, City, State, Zip)*
If at present address less than one year, please give previous address(Street, City, State, Zip)
Are you at least 21 years old? If no, employment is subject to verification that you are of minimum legal age. yesno
What languages can you read, speak and write fluently?
If hired, are you able to provide documentation that you are eligible for employment in the United States? yesno
Position applied for*
In five sentences or less, why you would be a good fit for this position?*
How soon can you report to work? *
Type of employment * Full TimePart TimeTemporary
Monday AMPMNot Available TuesdayAMPMNot Available Wednesday AMPMNot Available Thursday AMPMNot Available Friday AMPMNot Available Saturday AMPMNot Available Sunday AMPMNot Available
Upcoming vacations and dates
High School Name and Address*
Year Completed* 1234Graduated
College Name and Address
Courses Majored In
Year Completed 1234UndergraduatePost Graduate
Have you applied for a job with us before? yesno
Have you ever worked for us before? yesno
How did you come to apply? Employee ReferralFormer EmployeeHigh School RecruitmentNewspaper AdWalk In
Other referral source:
Have you ever been bonded? yesno
Have you ever been refused bond? yesno
If so, state reason and date
Have you ever been convicted of a crime other than a minor traffic violation? yesno
If so, state date, court and place where offense occurred
Have you ever been discharged or requested to resign from a position? yesno
If so, please explain
Does your present employer know you plan an employment change? yesno
Why do you desire to make a change?
Have you ever held a position of trust (handling money or confidential material)? yesno
Our industry requires excellent attendance and reliability. Are you able to meet these conditions consistently? yesno
1. Name & Address of previous employer
Telephone Number
Immediate Supervisor (name and position)
Your Job Title & Duties
Date Hired
Date Left
Starting Pay Rate
Ending Pay Rate
Reason for Leaving
2. Name & Address of previous employer
3. Name & Address of previous employer
Have you served in the U.S. Armed Forces? yesno
If yes, date active duty started
Which Service?
Job-related training or experience?
*Please do not list relatives or former employers*
1. Name
Occupation
2. Name
3. Name
*Please read this statement carefully before submitting this application*
I understand that employment with Organic Greens, LLC (the Organization) is at-will, meaning that either I or the Organization may terminate my employment at any time, with or without notice, for any or no reason. I authorize the Organization to conduct a thorough background investigation of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Organization, and its representatives or agents from any liability that might result from such an investigation. I authorize all individuals, schools, organizations and firms named to provide any requested information and release them from all liability for providing the requested information. I certify that all the statements, data and information in this application are true. I further understand that any falsification or willful omission of information shall render me ineligible for employment and be sufficient cause for dismissal.
I agree and would like to submit my application
