Application for Employment

H&H Harvesting
8651 48th Street NE
Devils Lake, ND 58301 		 

Bob - 701-662-2267 or 701-739-8905

Neil - 701-397-5260 or 701-740-4376

     
(Please note that this form is not secure. If you don't feel comfortable filling it out and submitting it online, please print it off, fill it out and mail to the above address. All information submitted in any form to H&H Harvesting will be kept strictly confidential.)
     
       
First Name:  
Middle Name:    
Last Name:  
Address:    
City, State Zip:  
       
Home Telephone:    
Cell Phone:    
E-mail Address:    
       
Date of Birth: (mm/dd/yyyy) Marital Status:  
       
Do you wear corrective lenses?  
Do you have any medical conditions / impairments that would be considered important for your employer to know?  
 
       
Do you smoke?    
Do you have an arrest record?  
If yes, please explain:
    
       
Do you have a clean driving record?  
       
       
Educational Information      
Are you a HS graduate?  
Name & Location of HS    
       
College / Major / Location  
Current Year in College    
       
Driver Information      
Do you have a current drivers license?  
State of Issue:    
Drivers Licence Number:    
Endorsements?    
Restrictions?    
License Class?    
       
Do you have a CDL?    
If not, are you willing to work towards one?  
Have you ever been charged with a DUI/DWI? No  
       
List any driving offenses charged with, in the past 5 years.    
   
       
Employment History      
(list 3 previous and / or current)    
       
Company Name:    
Address:    
City, State, Zip:    
Phone Number:    
Supervisor Name:    
Job Title:    
Start / End Dates:    
Job Duties / Skills:    
       
       
Company Name:    
Address:    
City, State, Zip:    
Phone Number:    
Supervisor Name:    
Job Title:    
Start / End Dates:    
Job Duties / Skills:    
       
       
Company Name:    
Address:    
City, State, Zip:    
Phone Number:    
Supervisor Name:    
Job Title:    
Start / End Dates:    
Job Duties / Skills:    
       
       
Experience / Job Skills      
     
Types of Farm Equipment that you have *actual* experience operating. Be specific. Include Tractors, Combines, Trucks, etc.  
   
Which position are you most interested in?    
   
Do you have any other skills or experience that would be useful during harvest?  
   
       
Is there any other information you would like to share with us about yourself?  
   
       
       
       
By electronically adding my signature to this form, I authorize H&H Harvesting to verify any and all information herein. If any information is found to be false, it can result in immediate termination.  
       
All successful applicants will be required to participate in random drug testing before and during the season.  
       
Applicants Signature:  
       
3 ways to get it to us:
     
       
Print. Complete. Mail. Bob Homan 8651 48th St NE Devils Lake, ND 58301  
     
Print. Complete. Fax. 701-662-2267 (Call before faxing to make sure the line is open)  
     
Complete Form. Click on the Submit Button below.