BC Tree Service Job Application

Our company BC TREE SERVICE, INC. fully subscribes to the principles of Equal Employment Opportunity. It is our policy to provide employment. compensation, and other benefits related to employment based on qualifications, without regard to race, color, religion, national origin, age, sex, veteran status, genetic information, disability, or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans with Disabilities Act and applicable federal, state, and/or local laws, it is our policy to provide reasonable accommodation upon request during the application process to applicants in order that they may be given a full and fair opportunity to be considered for employment. As an Equal Opportunity Employer, we intend to comply fully with applicable federal, state. and/or local employment laws, and the information requested on this application will only be used for purposes consistent with those laws. To the extent required by applicable law, BC Tree Service, Inc., maintains a smoke-free workplace. BC Tree Service, Inc., maintains a drug- and alcohol-free workplace.

POSITION APPLIED FOR

DATE

Date

Salary expectations

Name (Last, First, Middle)

Street Address

City

State

Zip Code

Telephone

Email

example@example.com

If you are under 18 years of age, please specify your age: (This information will be used only for child labor law purposes)

Are there any days, shifts or hours you will not work?

YesNo

If yes, please explain:

Are you available for out of town work?

YesNo

Will you work overtime, if required?

YesNo

How did you learn of our company?

Have you ever applied or worked at our Company before?

YesNo

If yes, provide dates

Date

Are you legally authorized to work in the United States?

YesNo

Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)?

YesNo

*Note: It is not necessary for you to identify unavailability for work because of religious observanceor practice or any other protected classification Subsequent to any job offer, we will consider whether a reasonable accommodation can be made.

DRIVING RECORD

Do you have a valid driver's license?

YesNo

State

License Number:

Have you had any tickets?

YesNo

If yes, please explain

Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for:

High School: Name of High School and months/years attended, Graduated? (Yes or No), Credits Earned? (If applicable), Degree Received or Expected (If applicable).

College or University: Name of College or University and months/years attended, Graduated? (Yes or No), Credits Earned? (If applicable), Degree Received or Expected (If applicable).

Technical/ GED: Name of Trade or Technical School and months/years attended, Graduated? (Yes or No), Credits Earned? (If applicable), Degree Received or Expected (If applicable).

Licenses/ Certifications/ Other: Name of Licenses/Certifications/Training and dates received/completed, Graduated? (Yes or No), Credits Earned? (If applicable), Degree Received or Expected (If applicable).

Please complete for all full-time or part-time employment beginning with the most recent employer. You may include as part of your employment history any verified work performed on a volunteer basis. All applicants should start with their most recent job; include military assignments and voluntary employment. (A separate sheet may be attached You must explain any gaps in your employment history.

COMPANY NAME:

Telephone:

Address:

Name of Supervisor:

May we contact:

YesNo

Dates Employed: From __/__/__ to __/__/__

List job titles and describe duties:

Reason for leaving:

COMPANY NAME:

Telephone:

Address:

Name of Supervisor:

May we contact:

YesNo

Dates Employed: From __/__/__ to __/__/__

List job titles and describe duties:

Reason for leaving:

COMPANY NAME:

Telephone:

Address:

Name of Supervisor:

May we contact:

YesNo

Dates Employed: From __/__/__ to __/__/__

List job titles and describe duties:

Reason for leaving:

COMPANY NAME:

Telephone:

Address:

Name of Supervisor:

May we contact:

YesNo

Dates Employed: From __/__/__ to __/__/__

List job titles and describe duties:

Reason for leaving:

Did you receive any discipline in your last 12 months of active employment with your previous employer?

YesNo

If yes, please explain:

Have you signed any non-competition or non-solicitation agreement or any other kind of agreement with any other employer that might restrict you from working for the Company (you will be required to furnish a copy of the agreement if you are being considered for hire)?

YesNo

If yes, please explain:

PROFESSIONAL REFERENCES (Please list three individuals unrelated to you with whom you have worked who know your qualifications for this position

Name, Address, Phone, Relationship (Please list 3)

Any Additional Information?

I certify that the answers given herein and during the entire application process (including but not limited to information provided in resumes, attachments to this application, interviews or otherwise (if applicable) are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers during the application process may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts during the application process may be cause for my dismissal at any time without prior notice.

Iconsent to and authorize BC Tree Service, Inc. to contact my former employers, references, and anyand all other persons and organizations for information bearing upon my qualifications for employment.

I further authorize the listed employers, schools and personal references to give BC Tree Service, Inc. (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference. By checking the following box, I waive my right to receive copies of public records obtained by the Company.

IEXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR THE COMPANY WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT NO ORAL PROMISE, EMPLOYER POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE (INCLUDING PERSONNEL HANDBOOK OR ANY PERSONNEL MANUALS) CONSTITUTE AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE COMPANY. TALSO UNDERSTAND THAT MY AT-WILL EMPLOYMENT STATUS WITH THE COMPANY MAY ONLY BE ALTERED IN AN INDIVIDUAL CASE OR GENERALLY IN A WRITING SIGNED BY THE OWNER, PRESIDENT OR CEO OF THE COMPANY.

I understand I may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; take a driver's examination or take a pre-employment drug test. If I am offered employment or start work before any required test is completed, Iunderstand that my employment is contingent on a satisfactory result on all required tests. I authorize the release of any drug/alcohol test to any state or federal authority requesting such information andin response to a valid subpoena or other legal document. I agree to sign any additional forms necessary for drug tests to be conducted.

CALIFORNIA APPLICANTS ONLY: I understand the Company may obtain, without using the services of a third party investigative consumer reporting agency, public records pertaining to my character, general reputation, personal characteristics or mode of living during its evaluation of my application for employment and, if employed, during my employment.

CALIFORNIA APPLICANTS ONLY: (Please read above)

Yes

Applicant Name:

Applicant Signature:

Date Applied:

Date

BC TREE SERVICE

EMPLOYMENT APPLICATION (PLEASE COMPLETELY ANSWER ALL QUESTIONS)

PERSONAL DATA

EDUCATION

EMPLOYMENT HISTORY:

APPLICANT'S ACKNOWLEDGMENT