Funny Farm/Greendale General Job Application

Please complete the following and click Submit when you are done.

1General Information > 2Education > 3References > 4Employment History > 5Signature and Disclaimer
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Are you a US citizen?

Are you a US citizen? Yes No
If no, are you authorized to work in the US?

If no, are you authorized to work in the US? Yes No
Are you at least 16 years of age?

Are you at least 16 years of age? Yes No
Are you at least 19 years of age?

Are you at least 19 years of age? Yes No
Please specify your availability.

Please specify your availability. Monday Tuesday Wednesday Thursday Friday Saturday Sunday

You can specify more details using the field below.
Please list the hours you are available for the days you checked above.
Do you have a felony conviction?

Do you have a felony conviction? Yes No
Please explain your conviction.
How did you hear about this position?