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Detasseling Application

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    MM slash DD slash YYYY
  • Your name must match what is on your social security card.
  • MM slash DD slash YYYY
  • Must be 13 before date of hire

    Please enter a number from 11 to 99.
  • If you don't go to one of the schools listed above please let us know which town you will be picked up from.
  • Please only list an email that you check regularly. If don't have one, put your parent's email address here.
  • Please enter a number less than or equal to 99.
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  • The above person is my child/ward. All the above information in correct and I consent to be employed in agriculture (detasseling corn). Parent must sign if child is 12-14 years of age.

  • Reset signature Signature locked. Reset to sign again
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