Dairy Employee Request Worksheet

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Dairy Employee Request Worksheet

Dairy Employee Request Worksheet

Business Information

Business Name:

Contact Person:

Phone Number:

E-Mail:

Full Address:

Number of Workers Needed:

Number of Entry Level Dairy Farm Workers Needed

Date When Workers Will Be Needed

Milking Shift for New Employee(s):

Number of Milking Groups:

Herd Information

Number of Cows Milked/Day:

Pounds per Cow per Day:

Milking Frequency:

Equipment

Milking Parlor Type:

Herringbone

Parallel

Tie Stall

Other

Number of Milking Units Per Side:

Milking System Make and Model:

Type of Floor Scraping System:

Alley scraper

Skidsteer

Other

Practices

Fore strip:

Yes

No

Wipe :

Paper

Cloth

Milkers Inject Cows:

Yes

No

Treated Cows in Separate Group:

Yes

No

Treated Cows Mixed in Various Groups:

Yes

No

Milkers Chase Groups:

Yes

No

Pre and Post Dip Same Solution:

Yes

No

Can Offer 50+ hrs. of work/week:

Yes

No

ID System:

Please describe identification system for treated cows, e.g. red band means treated cow

Housing

Distance from Worsksite:

Enter 0 if on site

Smoke Detectors:

Yes

No

First Aid Kit:

Yes

No

2:A Fire Extinguisher:

Yes

No

Telephone:

Yes

No

Cooking Utensils:

Yes

No

Kitchen Table & Chairs:

Yes

No

Stove & Refrigerator:

Yes

No

Bed for Each Worker :

Yes

No

Living Room Couch or Chair:

Yes

No

Television:

Yes

No

References

Veterinarian or Breeder: *

Reference 2: *

Reference 3: *

Additional Information:

Please provide other information that could help us identify and train your prospective employees

Agri-Placement Services

F. Brandon Mallory
P.O. Box 375
Macedon, NY 14502
315-986-4738 - Telephone
315-986-4738 - Facsimile

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