Employment

Your Full Name (last name, first name)

Your Email

Street Address

City

State

Zip Code

Best Phone Number At Which To Reach You

Position You're Applying For

Date You Can Start

Days of the Week You Are Available for Work

Are You Currently Employed?

If So, Can We Contact Your Current Employer?

Have You Applied To The Orchard Before? (if yes, please explain)

Your Educational Background

High School

Years Attended

Did You Graduate?

-

College, Trade School or Similar

Years Attended

Did You Graduate?

Employment History

Current/Most Recent Employer (name, phone number, dates employed, position, reason for leaving)

Next Most Recent Employer (name, phone number, dates employed, position, reason for leaving)

Next Most Recent Employer (name, phone number, dates employed, position, reason for leaving)

References

Please provide references who are not related to you.

Name, Phone Number, Relationship to You, Years Known

Name, Phone Number, Relationship to You, Years Known

Name, Phone Number, Relationship to You, Years Known

Authorization

All of the statements made in this application are true. I understand that, if I am hired, any falsification made on this application is grounds for dismissal.

I authorize representatives of Rittman Orchards to investigate all statements made herein. I also authorize all references and employers listed to provide any and all information regarding my current or past employment, as well as any other relevant information, even if personal. I release Rittman Orchards from all liability resulting from obtaining or using said information.

This authorization does not allow the use or release of any of my information in a way prohibited by the Americans with Disabilities Act or any other federal and state laws that are relevant.

I understand that a credit or criminal records check may be necessary prior to my hiring. If this is required, Rittman Orchards will obtain a separate written authorization from me, consenting to these reports, and they will provide me a written notification regarding their use of these reports. Bad credit or a past conviction will not automatically result in my not being hired.

Upon hiring, you will be required to verify your identity and eligibility to work in the United States, as well as completing the appropriate eligibility documents.

By typing my name below, I agree that all of the above statements are true, and I acknowledge that I am providing a legally binding signature.

Today's Date

Signature (full name)