Employment Online Application Form

First Name

Last Name

Applying for position as:

Location: Bridgehampton Art Farm    Art Farm in the City

I am interested in working: day (9-1pm)     full day (9-4pm)

Can you commit to work from June 27th – August 26th? Yes No

If not, what is your availability and why?

Contact Information

Permanent Mailing Address:

Home Phone: Cell Phone:

E-mail Address (required):

E-mail Address (reenter):

Social Security#

Are you over 18 years of age? Yes    No

In case of emergency notify:
Name Phone:

Criminal History

Have you ever been convicted of a crime, including any sexual abuse or molestation infractions?
Yes    No
Your Digital Signature (please type your name)*
*By typing your name you are authorizing us to conduct a background check.

Educational and Professional Training

High School:

College:

Other school or training programs:

Professional Experience:

References

Reference #1:
Name: Organization:
Relation to Applicant:
Email: Phone:

Reference #2:
Name: Organization:
Relation to Applicant:
Email: Phone:

Reference #3:
Name: Organization:
Relation to Applicant:
Email: Phone:

By submitting this application electronically, you agree that we can verify any or all information contained on this application.

Pressing "Submit" below indicates your acceptance of these terms, and consitutes your irrevocable digital signature.