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Agricultural Employment Application Form
Language(s) spoken and understood:
Do you have a valid driver's license?
Current Certificates
Do you have a criminal record?
Have you ever had a workplace injury?
Have you had a WCB claim in the last 5 years?
What position?
Pickup Location Preference: (locations subject to change)
Have you ever had any problems with your hip, knee, ankle, foot?
Have you ever had any problems with your shoulder, collar bone, elbow, wrist?
Have you ever had any problems with your back, neck?
Do you suffer from asthma?
Do you have any allergies?
How did you hear about this position? (Check all that appy)

Thank you for your application. Your information has been received and will be reviewed by our team. Only applicants being considered for a position will be contacted. Please do not hesitate to reach out should you have any questions or concerns regarding the application process. Have a great day!

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