Arborsmith Ltd. Application for Administrative Employment

Arborsmith Ltd.

28915 N. Herky Dr., Ste 102 • Lake Bluff, IL 60044 • 847-634-7734 • Fax: 847-634-8184
Application for Administrative Employment

We are an equal opportunity employer. Applications are received and employees are hired without regard to race, creed, color, sex, religion, age, national origin, marital status, handicap, disability, sexual orientation, veteran's status, citizenship status, or any other protected classes under state, local, or county regulations. The receipt of this application does not mean that a job opening exists and does not obligate us in any way. We appreciate your interest in our organization. Please note that all questions must be answered, and if a question is not applicable please state N/A".
Job you are applying for:
Date:

MonthDayYear
Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number:

Area CodePhone Number
Cell Phone or alternate contact phone:

Area CodePhone Number
E-mail
Last 4 digits of Social Security #:
Please type numbers only, no dashes
How did you hear about this job?
Website, Friend, Referral, IAA, Facebook, Craig's List, etc.
Do you have a valid Illinois Driver’s License?
DL#:
Please type numbers only, no dashes or #
Have you been convicted of any traffic violations in the last 3 years?
If yes, please explain
Do you have reliable transportation to and from work?
Are you interested in working in an independant office setting where you will work alone and with others on a permenant part time basis?
We are assuming you have read a description of the position to which you are applying, do you feel you can do everything described in the job description
How do you feel your specific skill set will fufill that job requirement?
This is a drug free work place, can you comply with this demand of employment?
Are you currently employed?
Can we contact your employer?
Does your current employer know of your plans to change employment?
Why do you desire to make a change?
Are you on layoff and subject to a recall?
Have you ever been discharged or requested to resign from a position?
If yes, please explain:
How much time have you lost from work in the last 12 months?
Are you legally eligible to work in the United States? (proof of citizenship/immigration status and identity is required upon employment)
Have you ever held a position of trust within a company where you handled money or confidential materials?
If yes, please explain:
Have you ever been convicted of or received sentence for a crime(s) other than minor traffic violations? (Answering yes is not an automatic bar from employment)
If yes, please state date, court, and place where offence(s) occurred:
Please describe a previous job that you really enjoyed explaining briefly why you liked it.
What do you see yourself doing, in one year from now?
What do you see yourself doing five years from now?
Tell us about your favorite thing to do; what really gives you a good feeling when you have accomplished it?
How would you measure success at work?
What is your desired roll on a team?
How would you describe your learning style? Visual, Auditory or Kinesthetic, please explain briefly how you learn best:
Please list any hobbies, sports, or special interests in which you participate regularly or have participated in regularly in the past. What is your favorite and why?
List three things that are important to you in your workplace:
List three characteristics that best describe you:
Why do you want to work for Arborsmith Ltd.?
Do you smoke? (this is not a bar from employment, however, be aware that all Arborsmith buildings and vehicles are smoke free environments)
Please summarize special skills and qualifications acquired from employment or other experience.
List any professional, trade, business or civic activities held:
Do you speak a foreign language?
Which one?
Education Information

Please note that all questions must be answered, and if a question is not applicable please state “N/A” or a "0" for numerical fields.
High School Name and location:
Years completed:
Did you graduate?
If yes:
Trade, Business or Correspondence School:
Additional course work from accredited or non-accredited institutions:
Name and Location:
Years completed:
Enter zero if not applicable
Did you graduate?
Degree received, major subject studied, courses passed or certificate earned:
Additional coursework or information you would like us to know about:
College or University Name and location:
Years completed:
Did you graduate?
If yes, with what degree and major of study:
Honors received?
Graduate School Name and location:
Years completed:
Did you graduate?
If yes, with what degree and major of study:
Military Service
If yes, branch of service:
Present Selective Service Classification:
Rank at Discharge:
Date of honorable discharge:

MonthDayYear
Special training and List of Duties:
Full Employment History

MUST be completed even when accompanied by resumé. Start with your present or last job. Include ALL assignements and positions held. Be specific about information and dates. A complete work history MUST be provided. ALL employment "gaps" must be listed.<br> <br> Please note that all questions must be answered, and if a question is not applicable please state “N/A” or “0” for a numerical value.
Employer
Dates Employed: List "From" Month/Year and "To" Month/Year
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Job Title:
Supervisor:
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Summary of Work Performed & Job Responsibilities:
Employment ended:
State Reason for Resigned or Terminated:
Employer
Dates Employed: List "From" Month/Year and "To" Month/Year
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Job Title:
Supervisor:
Starting Hourly Rate/Salary
Ending Hourly Rate/Salary
Summary of Work Performed & Job Responsibilities:
Employment ended:
State Reason for Resigned or Terminated:
Employer
Please enter N/A if not applicable
Dates Employed: List "From" Month/Year and "To" Month/Year
Please enter N/A if not applicable
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Job Title:
Please enter N/A if not applicable
Supervisor:
Please enter N/A if not applicable
Starting Hourly Rate/Salary
Please enter N/A if not applicable
Ending Hourly Rate/Salary
Please enter N/A if not applicable
Summary of Work Performed & Job Responsibilities:
Please enter N/A if not applicable
Employment ended:
State Reason for Resigned or Terminated:
Please enter N/A if not applicable
Employer
Please enter N/A if not applicable
Dates Employed: List "From" Month/Year and "To" Month/Year
Please enter N/A if not applicable
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Job Title:
Please enter N/A if not applicable
Supervisor:
Please enter N/A if not applicable
Starting Hourly Rate/Salary
Please enter N/A if not applicable
Ending Hourly Rate/Salary
Please enter N/A if not applicable
Summary of Work Performed & Job Responsibilities:
Please enter N/A if not applicable
Employment ended:
State Reason for Resigned or Terminated:
Please enter N/A if not applicable
If you need additional space to provide a full work history, please complete the same information required for each Employer below:
I have completely filled out my employment history.
Upload Resume (optional):

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Agreement -

The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit and motor vehicle records through any investigative or credit agencies or bureaus of your choice. I understand that a criminal record is not an automatic disqualification for employment. I also understand that if my application is accepted that employment with Arborsmith Ltd. is "at will". This “at will” relationship may not be changed by any written document, verbal statements, or by conduct unless such change is authorized by an officer of the company. I further understand that my “at will” employment may be terminated at any time by myself or Arborsmith Ltd. and includes no guarantee, contract or promise of employment for any specific length of time. I understand the the first ninety (90) days of employment is an introductory, new hire period.
Date of Application

MonthDayYearHourMinutesAM/PM Option
Signature of Applicant
Typing your name in this form represents an official digital form of your signature.
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty:

Arborsmith Ltd.

Application for Administrative Employment

Education Information

Full Employment History

References

Reference 1

Reference 2