WoodsEdge Wools Farm, LLC Application for Employment APPLICANT INFORMATION Last Name First M.I. Street Address Date Apartment/Unit # City State Phone ZIP E-mail Address Date Available Social Security No. Desired Salary Position Appling For Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? Have you ever had any moving traffic violations? YES NO Have you ever been convicted of a DWI? YES NO Have you ever been convicted of a felony? YES NO YES NO If so, when? If yes, explain If yes, explain EDUCATION High School From Address To Did you graduate? College From To To NO YES Address NO YES NO Did you graduate? Other From Degree YES Address Degree Did you graduate? Degree REFERENCES Please list at least three professional references. Full Name Company Relationship Phone ( ) ( ) ( ) Address Full Name Company Relationship Phone Address Full Name Company Relationship Phone Address WoodsEdge Wools Farm, LLC 78 Bowne Station Road, Stockton, NJ 08559 Phone: (609) 397-2212 Fax: (609) 397-2888 Email: WoodsEdgeEvents@aol.com Page 1 of 2 WoodsEdge Wools Farm, LLC Application for Employment PREVIOUS EMPLOYMENT Company Phone ( Address Job Title ) Supervisor Starting Salary $ Ending Salary $ Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Company YES Phone NO ( ) Address Job Title Supervisor Starting Salary $ Ending Salary $ Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Company YES Phone NO ( ) Address Job Title Supervisor Starting Salary $ Ending Salary $ Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? YES NO DISCLAIMER AND SIGNATURE I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsification statements on this application shall be grounds for dismissal. Signature Date WoodsEdge Wools Farm, LLC 78 Bowne Station Road, Stockton, NJ 08559 Phone: (609) 397-2212 Fax: (609) 397-2888 Email: info@WoodsEdge.com Page 2 of 2