Employment Application
Lumber Jack & Jill Tree Service
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is this a cell phone?
*
Yes
No
Best time to call you?
*
Please Select
Anytime
Morning
Early Afternoon
Late Afternoon
Early Evening
Are you eligible to work in the United States?
*
Yes
No
If you are under 18, do you have an employment/age certificate?
*
Yes
No
Have you been convicted of a felony within the last five years?
*
Yes
No
Please explain the felony conviction
*
Do you have a valid Driver's License?
*
Yes
No
Can you drive a stick shift?
*
Yes
No
Do you have an active CDL (Class A or B)?
*
Yes, Class A
Yes, Class B
No
Do you have reliable transportation to and from work?
*
Yes
No
In the last 5 years, how many ACCIDENTS have you had?
*
In the last 5 years, how many MOVING VIOLATIONS have you had?
*
In the last 5 years, how many ARRESTS FOR DUIs (Driving Under The Influence) have you had?
*
Position you are applying for?
*
Hours you are available to work each day of the week
*
What date are you available to start work?
*
-
Month
-
Day
Year
Previous Employment
*
Previous Education
*
Previous Skills & Qualifications
*
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Disclaimer
*
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in future if I am hired. I authorize the verification of any or all information listed above.
eSignature
*
Enter your whole name for a signature
Date
*
/
Month
/
Day
Year
Signature Date
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