Kuipers Family Farm Employment Application We will contact you for an interview if we think we have a position available for you. OK Question Title * 1. Please provide your contact information: Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 2. Name of your most recent employer: OK Question Title * 3. Are you currently employed there? Yes No This will be my first job. OK Question Title * 4. Provide detailed description of what duties you performed at that job. OK Question Title * 5. Do you have experience operating any of the following: Forklift Loader Farm tractor (not residential lawnmower) Residential riding lawn mower OK Question Title * 6. Have you ever held a job that required you to work outdoors regularly? Yes No If yes, please give detailed description of your outdoor duties. OK Question Title * 7. Have you ever held a job that required you to work with your hands regularly? Yes No If yes please give a detailed description of those duties. OK Question Title * 8. Which days of the week are you available to work a full day (8AM-4PM) on a regular basis Mondays Tuesdays Wednesdays Thursdays Fridays OK Question Title * 9. Do you have your own transportation? Yes I will have a car to get to and from work myself No I will be given a ride to and from work each day by someone else OK Question Title * 10. Is there anything else you would like to tell us about yourself that you think should be considered? OK CLICK TO SUBMIT APPLICATION.