Harvest Co-op: Job Application

Job Application

Fill out our application below. Use the submit button when you are finished to send your application to Harvest Coops.

An Equal Opportunity Employer
We do not discriminate on the basis of race, color, religion, national origin, sex, age, or disability. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Personal Information

Your Name:

Your Email address:

Present Address:

Telephone:

Birthdate, if under 18:

If hired, can you prove your eligibility to work in the US?

Working at Harvest

Store applied for:

Job applied for:

Other jobs you would be interested in:

Are you seeking full time or part time employment?

How long would you expect to work at the Co-op?

Date you can start:

Wage/salary expectation:

What is the total number of hours you would like to work each week?

Availability: what days and hours are you available to work? Leave blank the days you CANNOT work; and enter the time for the days you can (i.e. 8-12; or noon-8; or 3pm-9pm; etc):

Sun	Mon	Tues	Wed

Thurs	Fri	Sat

Have you ever worked at the Co-op before?

If so, when?

Which store?

Position held

Education

School attended at highest level of education

Degree:

Field of Study:

Do you have any special skills (i.e., customer service skills, food prep skills, food business experience, retail experience) that might be useful to you as a Harvest Co-op Associate?

Job History
List your last 3 employers. Complete all sections, including phone numbers.

If previous employment is limited, please complete the section "Personal References" as well.

EMPLOYER 1:

Dates employed

from to

Company Name

Company Address

Company Phone

Supervisor Name/Title

Duties:

Reason for leaving:

May we contact?

EMPLOYER 2:

Dates employed

from to

Company Name

Company Address

Company Phone

Supervisor Name/Title

Duties:

Reason for leaving:

May we contact?

EMPLOYER 3:

Dates employed

from to

Company Name

Company Address

Company Phone

Supervisor Name/Title

Duties:

Reason for leaving:

May we contact?

Personal References
If previous employment is limited, please give names and phone numbers of three personal references (not employers or relatives):

Reference 1 Name:

Reference 1 Phone:

Reference 2 Name:

Reference 2 Phone:

Reference 3 Name:

Reference 3 Phone:

Do you speak English fluently?

List any other languages that you speak fluently:

Are you able to lift 50 pounds repeatedly?

Are you able to work in walk-in coolers?

PLEASE ANSWER THE FOLLOWING QUESTIONS AS BEST YOU CAN:

At Harvest Co-op, our job is to move large amounts of food as quickly as possible, and provide good customer service at the same time. What skills or abilities would you bring to the Co-op that would help us do that?

What would your previous employers mention as your greatest strengths? Your greatest weaknesses?

Why do you want to work at Harvest Co-op?

Statement:
By submitting this form, I declare that all of the above information is true. I understand that my application may be investigated and that giving false information is a serious matter and would be considered grounds for dismissal.

Thank you for filling out our form. We'll contact you shortly!