Personal Information First Name: Last Name: Address: City: State: Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------------- AA AE AP --------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ---------------------- Other Zip: Phone: Email: Time at Address: (years/months) Are you over 18 years of age?    Yes   No Have you ever worked at Honey Farms before?    Yes   No If you answered "yes" above, give dates and location: Position Desired Position Desired: Part Time Sales Full Time Sales Assistant Manager Store Manager Location Desired: