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Recipes
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Employment
Store
Departments
- Bakery
- Craft beer
- Deli
- Garden Center
- Grocery
- Meat
- Prepared Foods
- Produce
- Seafood

Menu

Weekly ad
Recipes
Entertaining & Gifts
Employment
Store
Departments
- Bakery
- Craft beer
- Deli
- Garden Center
- Grocery
- Meat
- Prepared Foods
- Produce
- Seafood

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Weekly ad
Recipes
Entertaining & Gifts
Employment
Store Information
Departments
- Bakery
- Craft beer
- Deli
- Garden Center
- Grocery
- Meat
- Prepared Foods
- Produce
- Seafood

Menu

Weekly ad
Recipes
Entertaining & Gifts
Employment
Store Information
Departments
- Bakery
- Craft beer
- Deli
- Garden Center
- Grocery
- Meat
- Prepared Foods
- Produce
- Seafood

Join the
Green Hills Farm Team!

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Click here to View a Printable Copy of Our Application

Applicant Information
First Name*
Last Name*
*
Address * Address Line 2 City State ZIP Code
Phone*
Email*
Position(s) Applying For*
(be specific - max 3)
Date Available*
Date Format: MM slash DD slash YYYY
Desired Salary*
Are you a United States Citizen?
- Yes
- No
Have you ever worked for this company?
- Yes
- No
Have you ever been convicted of a felony?
- Yes
- No
Are you over the age of 18?
- Yes
- No
May we perform a background check on you?*
- Yes
- No
Availability

List approximate times available next to each day. (ex. Monday: 3pm to 10pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Education
High School
Address Address Line 2 City State ZIP Code
From
To
Did you graduate?
- Yes
- No
Degree
College
Address Address Line 2 City State ZIP Code
From
To
Did you graduate?
- Yes
- No
Degree
Other
Address Address Line 2 City State ZIP Code
From
To
Did you graduate?
- Yes
- No
Degree
References
First Name Last Name
Relationship
Company
Phone
Address Address Line 2 City State ZIP Code
First Name Last Name
Relationship
Company
Phone
Address Address Line 2 City State ZIP Code
First Name Last Name
Relationship
Company
Phone
Address Address Line 2 City State ZIP Code
Employment History

Please list all present and past employers. Begin with your most recent.
Present/Last Employer
Phone
Address Address Line 2 City State ZIP Code
Supervisor
Job Title
Responsibilities
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Reason for leaving
Present/Last Employer
Phone
Address Address Line 2 City State ZIP Code
Supervisor
Job Title
Responsibilities
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Reason for leaving
Present/Last Employer
Phone
Address Address Line 2 City State ZIP Code
Supervisor
Responsibilities
Job Title
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Reason for leaving
Military Service
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
Disclaimer And Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature (type name)*
Date*
Date Format: MM slash DD slash YYYY
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