Apply to work at Harvest Moon Employment App * Last Name * First Name Middle Initial * Street Address * City * Select a State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Daytime Phone * Your Email * Position Applying For * Desired Salary * Are you authorized to work in the U.S.? Yes No * Have you ever worked for Harvest Moon? Yes No If yes, when? * Have you ever been convicted of a felony? Yes No If yes, explain * Do you have reliable transportation for each shift? Yes No * Did you graduate from high school? Yes Yes * Did you graduate from college? Yes No More details about education, if applicable * Reference 1 * Reference 2 * Reference 3 Daytime Availability Sunday Monday Tuesday Wednesday Thursday Friday Saturday Nighttime Availability Sunday Monday Tuesday Wednesday Thursday Friday Saturday * What qualities do you possess that will make you a great Harvest Moon employee? * What does customer service mean to you? * Why are you applying at Harvest Moon? * What has been your worst employment experience? * Previous Employer 1 * Supervisor Name * Your Job Title * Salary * Responsibilities * Dates Employed * Reason(s) for leaving * May we contact this employer? Yes No Previous Employer 2 Supervisor Name Your Job Title Salary Responsibilities Dates Employed Reason(s) for leaving May we contact this employer? Yes No Previous Employer 3 Supervisor Name Your Job Title Salary Responsibilities Dates Employed Reason(s) for leaving May we contact this employer? Yes No Previous Employer 4 Supervisor Name Your Job Title Salary Responsibilities Dates Employed Reason(s) for leaving May we contact this employer? Yes No * Disclaimer My answers are true and complete to the best of my knowledge. If this leads to employment, I understand false or misleading information in my application or interview may result in my release