Employment Application

Name (Last, First):

Address:

Address 2:

City:

State:

Zip:

Phone Number:

Email Address:

Name & Number of Current Employer:
(if currently employed)

If employed, may we contact this employer?

Yes No

Name of school you are now attending and grade:

Do you have any special skills or training that will benefit Cherry Crest Adventure Farm in the event that you are hired?:

Please List Any Previous Employers and Your Job Title/Responsibilities:

References (3 required)
Name	Address	Phone Number

Authorization
I certify the facts 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.

I authorize investigation of all statements on this application contained herein and the references listed to give Cherry Crest Adventure Farm any and all information concerning my employment or personal information deemed pertinent that they may have and release Cherry Crest Adventure Farm from any liability for any damage that may result from utilization of such information.

I also understand and agree that no representative has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. CCF is a EOE.

I have read and understood the terms above: Yes No

Questions/Comments:

Paradise Township, Lancaster County, PA

150 Cherry Hill Road, Ronks, PA 17572 - Phone: 717-687-6843 - Toll Free: 1-866-546-1799 - Fax: 717-687-8143