All offers of employment are conditioned upon your ability to provide evidence of your right to be legally employed in the U.S. and, in certain cases, including Harvest Talent Solutions positions, valid authorization to access export-controlled technology.

Will you now or in the future require sponsorship by this Company to attain or maintain your employment eligibility?

JOB INFORMATION

Salary Desired:

Are there hours or days you are not available to work?

If YES, please list:

Can you travel, if the job requires it?

Are you willing to work overtime, if required?

Have you previously been employed by Harvest Talent Solutions?

If YES, please identify the company, your dates of employment, the position held, and the reason for leaving.

Have you previously applied for employment with Harvest Talent Solutions?

Do you have any relatives or friends that are employed with Harvest Talent Solutions?

If YES, please provide name(s), relationship(s), and work location(s).

Are you currently subject to a non-compete or employment agreement with another employer?

EMPLOYMENT HISTORY

Please provide a complete employment history listing all positions held for the last 10 years, starting with the most recent employer. Please account for any periods of unemployment at the end of this section. You may include any verified work performed as a volunteer.

Employer #1 (Present or Most Recent Employer):

Employed from

To

May we contact this employer?

If NO, please explain.

Employer #2:

Employed from:

To:

May we contact this employer?

Employer #3:

Employed from

To

May we contact this employer?

If NO, please explain.

Have you ever been terminated, laid off, discharged, or asked to resign from any employment?

If YES, give the employer(s) and reason(s) for each discharge/resignation.

Please account for any periods of unemployment here:

MILITARY SERVICE – Attach DD214 if applicable

If other than honorable, explain. The type of Discharge will not be an automatic bar to employment and will be considered only as related to the jobs applied for.

EDUCATION

SPECIAL SKILLS AND QUALIFICATIONS

HOW WERE YOU REFERRED TO HARVEST TALENT SOLUTIONS?

REFERENCES

In addition to the supervisors listed in the employment history section above, list three (3) professional references who can comment on your work performance. If not applicable, list three (3) personal references who are not related to you.