Employee Sign Up

We would love to hear from you! Please fill out this form and we will get in touch with you shortly.

Name*
FirstLast
Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Phone*
Enter phone number in this format (555) 555-5555
Cell
Enter the phone number in this format (555) 555-5555
Email*
Enter EmailConfirm Email
Date of Birth*
SIN:
Available From: *
Available to:*
Crew Applying for:
What position or positions are you interested in?*
- Planter
- Checker
- Supervisor
- Cook
- Assistant Cook
- Payment Checker
How will you get here?*
References
Company Name*
Company Phone*
Company Email
Years experience planting*
Diet / First Aid
Diet preferences*
- Vegitarian
- Meat eater
- Allergies
Check off appropriate choices
Dietary Notes
List allergies, health concerns
First aid level*
First aid expiry date
Emergency Contact
Emergency Contact Name*
Emergency Contact Phone*
Enter the phone number in this format (555) 555-5555

References