EmailMe Form - REHIRE - Employment Application

If you have any questions email us at fun@luckyladdfarms.com.

Please use your own phone number and/or email to ensure you receive pertinent information about interviews and hiring.

Applicant Name: *

First Last

Applicant Cell Phone: *

### - ### - ####

Applicant Email: *

Address *

Street Address City State / Province / Region Postal / Zip Code

How will you get to work? *

Drive my own car.

Parent/Sibling will drive me.

Other

Do you need to update or change your direct deposit information? *

Yes

No

Name on Account:

First Last

Name of Bank:

Account Type:

Checking

Savings

Account Information:

Routing Number
Account Number

How old will you be on October 1, 2021? Mark your appropriate age bracket: *

Current Educational/Workforce Status : *

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