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apply to work at harvest moon
First Name
Middle Initial
Last Name
Email
Street Address, City, State, Zip
Phone
Position Applying For
Desired Salary
Are you authorized to work in US?
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No
Have you ever worked for Harvest Moon?
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Yes
No
If yes, when?
Have you ever been convicted of a felony?
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Yes
No
If yes, explain?
Do you have reliable transportation?
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Yes
No
Did you graduate from High School?
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Yes
No
Did you graduate from College?
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Yes
No
Education details if applicable
References
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Previous Employer
Employer Phone
Supervisor Name
Your Job Title
Salary
Responsibilities
Dates Employed
Reason(s) for leaving
May we contact this employer
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My answers are true and complete to the best of my knowledge. If this leads to employment, I understand false or misleading information in my application or interview may result in my release
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