Oregon Dairy Farm


Personal Information

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Times available each day. (Saturday & Sunday hours required)

If you are hired, we will attempt to accommodate your schedule, but management reserves the right to schedule associates hours as necessary for store coverage and business reason, which may include weekends, evenings, and holidays.


Education Background Name of School Years Completed Graduated? Course of Study
High School Yes No
College Yes No
Other Yes No

General Information

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Start with most recent


Give the names of three persons not related to you, whom you have known at least one year.

  Name Address & Phone Number Occupation Years Acquainted

In case of emergency, notify:

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's policies, and I understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."