Application for employment Name * Name First Name First Name Last Name Last Name Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Address (If less than one year at above) Address (If less than one year at above) Address (If less than one year at above) Address (If less than one year at above) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone (home) Phone (cell) Email * Ohio Driver’s License # * - Position Applying For * Farm Manager InternEducator/PR InternFarm Youth Program Worker Check All That Apply Part Time Full Time Intern Temporary What hours are you available? Mornings Evenings All Day Are you willing to travel within a 20 miles radius during work hours? * Yes No Have you ever supervised other people in a work environment? yes No If yes, for how many years? On average, how any people did you directly supervise at any given time? Have you ever applied for a job at Go Columbus Agriculture prior to this application? * Yes No Describe Previous applications such as dates and positions Have you been employed by Go Columbus Agriculture prior to this application? * Yes No If yes, list dates of employment, job description, supervisor, and why you left the agency. How did you learn about this job posting? If referred by a current or previous employee, please list their name. Why do you want to work for Go Columbus Agriculture? ARE YOU AUTHORIZED FOR EMPLOYMENT IN THE U.S.? * Yes No We will hire only those persons who are authorized by law to work in the United States. Any offer of employment, if made, will be conditioned upon your production of documentation to prove your employment eligibility status under the IMMIGRATION REFORM AND CONTROL ACT OF 1986._ Have you ever been convicted of or pleaded guilty to a crime? Yes No If yes, please explain (Include: Nature of offense, date of conviction or guilty plea, penalty imposed, County, State or other relevant circumstances). Conviction or a guilty plea is not an automatic bar to employment; all circumstances will be considered. If yes, please explain (Include: Nature of offense, date of conviction or guilty plea, penalty imposed, County, State or other relevant circumstances). Conviction or a guilty plea is not an automatic bar to employment; all circumstances will be considered. Submit Captcha If you are human, leave this field blank.
