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How did you hear about us?

Have you been employed by IFSI before?

Are you available to work weekends, if necessary?

Is there anytime that you will NOT be available to work?

What is the best way to reach you?

Emergency Contacts

Medical Information (Optional)

Allergies to any Medication?

Parent's, Legal Guardian's, or Applicant's Consent & Certification

I give my consent for the person named on this application to accept employment with Illinois Foundation Seeds, Inc. (IFSI) for the purpose of detasseling and/or derouging and/or working in the Research Nursery. I certify the above information is correct and that the person named on this application is a citizen of the United States. In the event of sickness or an accident, I give my permission for the person named on this application to receive proper medical attention

I authorize IFSI to use and publish photographs in print and/or electronically. I agree that IFSI may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

Illinois Foundation Seeds Corporate Offices
1083 County Road 900N
Tolono, IL 61880
217.485.6260
ifsi@ifsi.com

Application For Part-TimeEmployment

Emergency Contacts

Medical Information (Optional)

Parent's, Legal Guardian's, or Applicant's Consent & Certification