Martha's Vineyard Land Bank Commission

Application For Seasonal Employment

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Home Phone

Cell Phone *

Email Address *

Position Applying For *

Are you legally authorized to work in the United States? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

If yes, please explain.

Availability and Prior Experiences

Start Date

End Date

Are you available for full-time work, this would include weekend and all holiday shifts? *

yes

no

Do you have your own vehicle transportation (mopeds and bicycles are not considered vehicle transportation)? *

yes

no

Are you comfortable being in an authoritative position to enforce property rules? *

yes

no

If not otherwise noted on resume, list pertinent work, professional, trade, business or civic activities and (if applicable) offices held; please exclude, if you wish, any which may indicate race, color, religion, sex or national origin:

Do you have experience working with goats or other livestock? Please briefly describe any animal husbandry and livestock care skills you may have, such as hoof trimming, setting mobile fence, etc.

Do you have formal education or training in any of the following areas:

Employment History

Employer 1

Company Name

Supervisor/Manager

Address

Position

May we contact? *

Yes

No

Phone Number

Employer 2

Company Name

Supervisor/Manager

Address

Position

May we contact? *

Yes

No

Phone Number

Employer 3

Company Name

Supervisor/Manager

Address

Position

May we contact? *

Yes

No

Phone Number

Reference 1

Additional

Have you ever been discharged from any position? If yes, please explain the circumstances. *

Do you require housing? *

yes

no

Please provide a housing reference (first and last name of contact and phone number). *

0/40 characters

List the names of Land Bank employees with whom you are acquainted:

I understand and agree:

1. Any material misrepresentation of facts in my application may be justified for refusal of employment, or if already employed, termination of employment.

2. It is my understanding that the Martha's Vineyard Land Bank Commission will make a thorough investigation of my work history and may verify all data given in my application for employment, related papers or oral interviews. I authorize such an investigation. I undersatnd that falsificaton of data so given or other derogatory information discovered as a result of such investigation may prevent me from being hired or, if already hired, may subject me to immediate dismissal.

3. I agree that my employment may be terminated by the martha's Vineyard Land Bank Commission at any time without liability for wages or salary except as may have been earned at the date of such termination.

4. Although the Martha's Vineyard Land Bank Commission makes every effort to accommodate individual preferences, agency needs may at times make the following conditions mandatory: overtime, shift work, a rotating work schedule, or a work schedule other than Monday through Friday. I understand and accept these as conditions of my continuing employment.

I further understand that this is an application for employment and that no employment contract is being offered at this time. I understand that if I am employed, such employment is for no definite period of time and that the Martha's Vineyard Land Bank Commission can change wages, benefits and conditions at any time. The Immigration Reform and Control Act (IRCA) requires that applicants produce documentation showing that they are citizens of the United States of America or that they have legal authorization to work in the USA. Should you be offered the position for which you are applying and should you subsequently choose to accept the offer, you should be prepared to confirm your residency status relative to the IRCA. This documentation will not be required of you during the interview, nor will any questions be asked about national origin. *

I have read and understand the above.

Please submit your cover letter.

Please submit a copy of your resume.

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