Seasonal Employment Application

Please contact Kate Wiltse at 815-739-6179 with any questions.

Your Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone

Your Email Address

Enter Email Confirm Email

General Availability

Please include days and times you are available to work during the week (mornings, afternoons, specific hours, etc).

Monday

Tuesday

Wednesday

Thursday

Friday

Weekend Availability

Please include days and times you are available to work (mornings, afternoons, specific hours, etc.)

Saturday

Sunday

Are there any days of the week/hours you absolutely cannot work?

Please list any planned time off in advance?

Please include any experience working on a farm?

Comments

Emergency Contact 1 Name

First Last

Emergency Contact 2 Name

First Last

Emergency Contact 1 Relationship

Emergency Contact 2 Relationship

Emergency Contact 1 Phone

Emergency Contact 2 Phone