Hellerick’s Family Farm
5500 N. Easton Road
Doylestown, PA 18902
215-766-8388
Applicant Information
Name:____________________________________________________Mobile#:_________________________________
Email:____________________________________________________Date of Birth___________/______/____________
Positions Available
Aerial Adventure Park (March to December)
______ Assistant Manager ______ Park Guide (These positions are ONLY open to applicants 18 or older)
______ Cashier ______ Food Service (These positions are open to any applicants 16 and older)
Adventure Farm (March-August), Farm Obstacle Course (June-December) and Fall Festival (September and October)
______ All positions open to any applicant 16 and older
______ Tractor Driver (must be 18+)
Availability
Mondays Tuesday Wednesday Thursday Fridays Saturdays Sunday
Hrs._____ Hrs._____ Hrs.______ Hrs._____ Hrs._____ Hrs._____ Hrs._____
Are you looking for: _____ part-time _____ full-time How many hours per week you can work? __________
Legal
Are you legally able to work in the U.S.? _____ yes _____ no
Have you ever been convicted of a misdemeanor or felony? _____ yes _____ no, if yes explain___________________
________________________________________________________________________________________________
Education
High School_________________________ Last grade completed_______________________
College____________________________ Last year completed_______________________
Work Experience (attach resume if you have one)
Employer Job description Reason for leaving
1.
2.
3.
List experience that is related to the position you are applying for___________________________________________
________________________________________________________________________________________________
If no experience, please explain why you feel you would be a choice for the position____________________________
________________________________________________________________________________________________
Signature_____________________________________________________ Date_______________________________
(If applicants under 18 please have parent or guardian co-sign)
