All fields marked with * are mandatory. Your application and the information contained within will only be used to contact you and to determine your suitability for employment at Miller's Bay Farm.

First Name*

Last Name*

Mailing Address*

City*

Province
Ontario
Postal Code*

Home Phone*

Cell Phone

Your Email*

Tick the box if YES I am 14 years of age as of January 1 this year

Do you have a driver's license? YESNO

References

Please provide the name and contact information of ONE reference who is not a relative. By providing this information, you are giving us consent to contact the individual.

Name of Reference*:
Phone number*:
Connection*:

Work/Volunteer Experience

Company/Organization:
Dates Employed (from...until):
Position/Title:
Duties/Responsibilities:
Reason for leaving:
Name of Supervisor:
Phone number:

In a paragraph or two, please tell us why we should consider hiring you at Miller’s Bay Farm.*

Area(s) of interest (check all that apply)

Berry Picking (early hours)Other picking/packagingCustomer Service

Disclaimer

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand the hours and commitment involved.

Check here if you accept these terms.*

Your typed name will be considered to be your signature

Date: