APPLICATION FOR EMPLOYMENT

Rader Detasseling

*Please note: Document will print differently than it appears on screen.

Please type or print the following information:

_____________________________________________ ____ __________________

First Name Middle Last Age Birth Month/Date/Year

____________________________________ ______________________ ___________

P.0. Box & Street Address Town & State Zip Code

______________________ __________ (_____)_______________

Social Security Number Height Telephone Number

Please mail completed application to:

Rader Detasseling

271 Road 324

Trumbull, NE 68980-9709