Farm Manager Application Please fill out this application truly and completely. Use additional pages where necessary. Feel free to contact Sarah George with any questions. Submission information can be found at the end of the application. Applicant Information Full Name ______________________________ Date of Birth _____________ Mailing Address ________________________________________________ Cell Phone Number (___)____-_____ Email Address______________________ SSN _____-____-______ Are you a US Citizen? Yes___ No___ If not, are you authorized to work in the US? Yes___ No___ Have you ever been convicted of a felony? Yes___ No___ If so, please explain: ______________________________________________ ____________________________________________________________ When are you available to start? ______________ Are you able to live on a $200/month living stipend? Yes___ No___ Education High School Name _______________________________________________ Address ______________________________________________________ From: ________________ To: _________________ Did you graduate? Yes___ No___ College Name __________________________________________________ Address ______________________________________________________ From: ________________ To: _________________ Did you graduate? Yes__ No__ If so, what degree did you obtain? _____________________________________ Other Educational Institution Name ___________________________________ Address ______________________________________________________ From: ________________ To: _________________ What degree or certificate did you obtain? _______________________________ Employment History Company Name _________________________________________________ Address ______________________________________________________ Phone Number (___)____-_____ Website _____________________________ From: ________________ To: _________________ Job Title ______________________ Supervisor ________________________ Responsibilities _________________________________________________ ____________________________________________________________ Reason for Leaving ______________________________________________ May we contact your previous supervisor for a reference? Yes___ No___ Company Name _________________________________________________ Address ______________________________________________________ Phone Number (___)____-_____ Website _____________________________ From: ________________ To: _________________ Job Title ______________________ Supervisor ________________________ Responsibilities _________________________________________________ ____________________________________________________________ Reason for Leaving ______________________________________________ May we contact your previous supervisor for a reference? Yes___ No___ Company Name _________________________________________________ Address ______________________________________________________ Phone Number (___)____-_____ Website _____________________________ From: ________________ To: _________________ Job Title ______________________ Supervisor ________________________ Responsibilities _________________________________________________ ____________________________________________________________ Reason for Leaving ______________________________________________ May we contact your previous supervisor for a reference? Yes___ No___ Volunteer Experience Please briefly describe any past volunteer experience you would like us to know about. ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ References Please include the name and information of 3 references we can contact on your behalf. One who can attest to your professional capabilities: Name ________________________________ Relationship ______________ Phone Number (___)____-_____ Email Address ________________________ One who can attest to your volunteer background: Name ________________________________ Relationship ______________ Phone Number (___)____-_____ Email Address ________________________ One who can attest to your faith life/journey: Name ________________________________ Relationship ______________ Phone Number (___)____-_____ Email Address ________________________ Short Answers On an additional piece of paper, please include no more than 200 words responding to each of the following questions. A few sentences for each should be sufficient. 1. At the Emmaus Farm, the students on retreat live by the charisms of simplicity, community, prayer, and service. How can you contribute to the experience of one of these charisms for the students you will lead? 2. As a Farm Manager, you will be living in community with your coworkers. Describe an experience that has helped you to be able to handle living and/or working with others who have different strengths and values than you. 3. Farm Managers are expected to be in continual service to and relationship with the Lewis County community, during “on” and “off” weeks (when we have groups at the Emmaus Farm, and when we do not). How do you see your role in the Lewis County community? In other words, how do you see yourself fitting into the rural Appalachian county in which the Emmaus Farm resides? 4. The Emmaus Farm is dedicated to the community of Lewis County in many ways, one of which is worshipping with people of different faiths at various protestant churches. Additionally, you will likely work with student volunteers and coworkers of other faiths. How will you respond to working with people who have fundamentally different beliefs than you do? 5. The Emmaus Farm is inspired by Catholic Social Teaching. As such, we participate in traditions such as Mass, Catholic Prayer, and discussions of Catholic Social Teaching. Are you comfortable living and working in an environment with these Catholic themes and practices? Do you have any trepidation about doing so? Please explain. Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Signature _________________________________ Date ________________ Please mail or email this completed application to Sarah George at: Sarah George Emmaus Farm PO Box 598 Vanceburg, KY 41179 [email protected] Phone: (443) 243-5186
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