Dells TimberLand
Employment Application
P.O. box 72, Wisconsin Dells, WI. 53965 Fax 608-253-9522 Phone 608-254-2429
Contact Information
Today"s Date
*
-
Month
-
Day
Year
Date
First Name
*
Last Name
*
Address
City
State
Zip
E-mail Address
Primary Phone
Other Phone
Position Information
Which position are you applying for?
*
Office / Store
Grounds
Other
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Full-Time
Part-Time
Weekly Number Of Hours Preferred
Have You Reviewed the Job Description for the Position?
*
Yes
No
Do you have any Comments, Questions or Concerns about performing the example tasks in the Job Description?
*
Link to Job Descriptions
http://www.dellstimberland.com/employee-forms-and-files/
What Days and Times are you available for work?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Transportation
Do you have your own vehicle?
Yes
No
Do you have any transportation concerns about getting to and from work?
*
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Education and Qualifications
Type of School
Completed High School
Completed Collage
Completed Trade School
Professional School
Other
Do you have any comments or details about your education that you would like to share?
Are You a US Citizen
*
Yes
No
Are you 18 or older
*
Yes
No
Do you have a drivers licenses
*
Yes
No
Have You had any moving Violations in the past 3 years?
*
Yes
No
Have You had any accidents in the past 3 years?
*
Yes
No
Have you been convected of a crime? If yes please explain.
*
Do you have any comments. personal qualities or concerns that you would like to share in regard to the position you are applying for?
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Previous Employment
Current or Most Recent Employer
Name of Employer
Name of Supervisor
Dates of Employment
From:
To:
Company address
Company Phone
Your Job Title
Please list the duties you preformed, skills you learned, advancements, or promotions while you worked at this company:
Reason for Leaving
May we contact this employer?
*
Yes
No
Other
Previous Employer
Name of Employer
Name of Supervisor
Dates of Employment
From:
To:
Company address
Company Phone
Your Job Title
Please list the duties you preformed, skills you learned, advancements, or promotions while you worked at this company:
Reason for Leaving
May we contact this employer?
*
Yes
No
Other
Personal references other than relatives
Name
Relation
E-mail Address
Phone
Name
Relation
E-mail Address
Phone
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Do you have any special needs or housing requirements that apply to this application?
What are your salary requirements?
When can you start?
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Month
-
Day
Year
Date
Submit
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