SUMMER INTERNSHIP APPLICATION

Name

Phone Number

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Grade (if OTHER)

Are you over the age of 16?

Yes

Are you legally permitted to work in the United States?

Yes

Have you ever been convicted of, pled guilty to, a felony or misdemeanor, with the exception of a minor traffic violation?

Yes

I'd like to explain

Criminal Record Explaination

Do you live on property with pigs, or have regular contact with pigs?

Yes, explain

Contact with pigs explaination:

Available Start Date

Available to Work Until (Date return to school)

Current/Last Employer

Reason for Leaving

Start of Employment

End of Employment

Previous Employer

Start of Employment

End of Employment

Reason for Leaving

Employee Referral

List Any Animal Experience You ve

Any Addition Comments

Thanks for submitting your application with Dykhuis Farms!