In compliance with Federal & State opportunity laws, qualified applicants are considered for all positions regardless of race, color, religion, sex, national origin, age, marital status, or the presence of a non-job related medical condition or handicap. * indicates a required field

Your Information
Last Name*	First Name*	Middle Name
Address*	City*	State*
		Alabama Arizona Arkansas California Colorado Connecticut D.C. Delaware 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other-Not Shown
Zip*	Phone*
Email Address
Note: You will be required to present sufficient identification to
verify the requirements of the "Employee Eligibility Verification
Form" (Form I-9)
Have you ever worked for another ranch before?
Yes No
Where?
Reason for Leaving
Position you desire	Other	Rate of Pay Desired
Foreman Irrigator Fencer Cowboy Horse Trainer Hay Crew Calving Part-Time Internship Mechanic Other (Please Describe)
Do You Have any Pets
Yes No
If yes, Please Specify Type and # of Each
Currently Employed?	Where?
Yes No
If not employed, how long since last employed?
Are you willing to take a pre-employment drug screen?
Yes No
Who referred you?
Want Ad Internet Word of Mouth Other
Why do you want to work for the IX Ranch?
Are there any environmental conditions, such as asthma or allergies,
that would cause you to be unable to perform certain tasks?
Yes No
If yes, please describe:
Marital Status
Married Not Married
Employment References:
Name	Phone	Company
Do you have dependable transportation?
Yes No
Valid Drivers License?	Which State?
Yes No	Alabama Arizona Arkansas California Colorado Connecticut D.C. Delaware 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 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other-Not Shown
Please list skills and abilities that are agricultural and non-agricultural related:
Do you have your own Tack?
Yes No
Are you willing to live more than 40 miles from town?
Yes No
By submitting this form I certify that all the information
provided by me is true and correct. Additionally, I give
the IX Ranch permission to investigate and verify all
information I have included herein.