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MILK LADY CONTRACTOR APPLICATION

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CONTRACTOR APPLICATION

* Indicates required field

First & Last Name *

First

Last

Social Security Number *

Email *

Complete Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Do you have any allergies or other health challenges we may need to be aware of? *

Please list two emergency contact names and daytime numbers here: *

Emergency Contact #2 *

In order to work with the public and vulnerable individuals at our Farmstand we will need to apply for an enhanced Background check for you. We will also need references. Do you consent to a background check? Check One Box Below: *

Yes No

In the past 10 years, have you been convicted of a felony? If yes, please describe: *

Tell us why you want to work for Milk Lady Markets? *

What strengths do you bring to a market role? *

What market experience do you have, if any? *

Please provide the name, direct phone and email of three professional or academic references here: *

Reference #2 *

Reference #3 *

Depending on the weekday, we can start as early as 5 am until about 3 pm.

What date can you start working? *

Which days of the week can you work consistently? *

What start and end hours can you work, on which days of the week? *

List your past hourly rate(s) over the last three years: *

Upload Your Resume Here *

Max file size: 20MB

Optional Comments/Questions *

Before submitting, upload the required documents, below. By submitting this form I agree that I have answered these questions truthfully, factually and to the best of my knowledge; and I agree to submit to a background check. *

Yes, I agree No, I am unable to apply at this time

Submit

MILK LADY CONTRACTOR APPLICATION

CONTRACTOR APPLICATION

Depending on the weekday, we can start as early as 5 am until about 3 pm. ​

Depending on the weekday, we can start as early as 5 am until about 3 pm.