Three Chimneys Farm Application For Employment









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    Employment (Begin with the most recent or present employer)






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    Work References (Name, Address, Phone)




    Have you ever been employed by Three chimneys Farm or Old Bradley Place?

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    Have you previously applied for employment with Three Chimneys Farm or OBP?

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    Are you legally eligible and can you provide proof of eligibility to work in the U.S.?

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    Do you use any illegal drugs?

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    Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which have not been annulled or otherwise erased by the court?

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    I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. By my signature below, I authorize Three Chimneys Farm and Old Bradley Place to check the references listed above, unless otherwise stated in writing and to conduct a background check an drug screening upon the offer of employment"