Employment Application

Employment Application
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any bias, including race, color, national origin, sex or gender, rligion, age, disability, verteran or military status, genetic information or and other legally protected status.
THIS APPLICATION IS ACTIVE FOR A PERIOD OF 60 DAYS. IF YOU HAVE NOT BEEN NOTIFIED THAT YOU HAVE BEEN EMPLOYED BY THIS COMPANY WITHIN 60 DAYS, THEN YOU MUST REAPPLY IN PERSON IN ORDER TO BE CONSIDERED FOR FUTURE EMPLOYMENT. ALL QUESTIONS MUST BE ANSWERED FOR THE APPLICATION TO BE CONSIDERED.
Applicant Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Format: (000) 000-0000.
Email
example@example.com
Position Applied For*

MillwrightCrane OperatorKnuckle Boom/Chipper OperatorWet Yard Knuckle Boom OperatorUtility (Grounds Keeper)
Skills*

Heavy Equipment ExperiencePower ToolsBasic Maintenance KnowledgeOkay With HeightsTeamwork
Which shift(s) are you willing to work? (check all that apply)*

1st (6a-2p)2nd (2p-10p)3rd (10p-6a)
Date available:*
Who referred you to us for employment?
Have you ever worked for this company?*
If yes, when?

MonthDayYear
Date
Do you have any relatives working here?*
If yes, please name:
Are you 18 years of age or older?*
Are you eligible for work in the United States?*
*In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.
Have you pled guilty or no contest to, or been convicted of, a felony in the past seven years?*
NOTE: Answering "Yes" to this question does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and relationship of offense to position applied for will be taken into account. (Do not include minor traffic citations and arrests or convictions which have been sealed or expunged in answering this question.)
If yes, please give date(s) and details:
References
Please list professional references:
Name*

First NameLast Name
Relationship:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Relationship:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous Employment
Company:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Job title:
Responsibilities:
From:
To:
Reason for leaving:
Company:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Job title:
Responsibilities:
From:
To:
Reason for leaving:
Should be Empty:

Employment Application

Applicant Information

References

Previous Employment