Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address (Street, City, State, Zip)
*
Are you a United States citizen?
*
<Select Response>
Yes
No
Do you have the legal right to work in the United States?
*
<Select Response>
Yes
No
Are you a Veteran?
*
<Select Response>
Yes
No
Have you ever been convicted of a felony?
*
<Select Response>
Yes
No
Have you ever worked around horses?
*
Have you ever worked for an animal rescue or sanctuary?
*
What qualifies you for this job? Describe your prior experience in this role or a similar role. If NONE, please state NONE.
*
Why do you want to work at Rosemary Farm?
*
Are you seeking Full Time or Part Time work?
<Select response>
Full time (generally 36-40 hours)
Part time (generally 15-30 hours)
I'm open to either
Please indicate which days of the week you are available to work. This is not your agreed schedule! If you are hired your schedule will be agreed at that time.
All full time positions include either a Saturday or Sunday shift.
Available Start Date (if hired)
*
MM
DD
YYYY
Desired Pay Rate
*
Please list your last four (4) employers, including position and dates of employment. (Example: Mill Ranch, Animal Caregiver, June 2018 - Present)
*
List all schools attended (high school, trade school, college), areas of study, dates attended, degree if completed.
*
Please describe any additional education, training, certifications, etc. you have that are relevant for the position you are applying for. (Example: Vet Tech, CDL)
I can repeatedly lift and carry bulky objects that weigh up to 50 lbs, for several hours.
*
<Select response>
No
Yes
Not applicable for position applying for
I can work outdoors in extreme hot or cold temperatures, for several hours.
*
<Select response>
No
Yes
Not applicable for position applying for
I can repeatedly stand, squat and climb in/out of vehicles or spaces.
*
<Select response>
No
Yes
Not applicable for position applying for
I can walk a minimum of 10,000 steps over a period of a few hours.
*
<Select response>
No
Yes
Not applicable for position applying for
Reference #1 - Name, Title, Company, Phone, Email
*
Reference #2 - Name, Title, Company, Phone, Email
*
Reference #3 - Name, Title, Company, Phone, Email
*
Full Name
*
Date
*
MM
DD
YYYY
