General Tree Service An Equal Opportunity Employer Employment Application

General Tree ServiceAn Equal Opportunity EmployerEmployment Application

Please complete all portions of the application. Incomplete applications will not be accepted. This application is current for 90 days only.

Date:*

Name:*

Address:*

City:*

State:*

Zip Code:*

Phone:*

E-mail Address:*

If hired, you will be required to submit identification in accordance with Immigration and Naturalization Service Requirements.

Do you have a valid drivers license?*

YesNo

State

Drivers License Number:

Any violations/accidents in the last 5 years?

YesNo

If yes, describe:

Position applied for:*

Are you presently employed?*

YesNo

If not, how long since last employment?

Rate of pay expected?*

How did you hear of Job Opening?

Education:

High School last attended:*

College:

Name:

Location:

Major:

Vocational Training or Career Enhancement, Adult Enrichment, Continuing Education, Seminars, Workshops, etc.

School and description:

Professional Degrees or Certificates:

On the job training or experience:

Other relevant skills or experience:

Employment History

Present or Last Employer

Name:*

Phone:*

Address:*

City/State/Zip Code:*

Position or Title:*

Supervisor:*

Duties (be specific):*

Reason for leaving:*

How long employed?*

From:*

To:*

May we contact?*

YesNo

Prior Employer

Name:

Phone:

Address:

City/State/Zip Code:

Position or Title:

Supervisor:

Duties (be specific):

Reason for leaving:

How long employed?

From:

To:

May we contact?

YesNo

Prior Employer

Name:

Phone:

Address:

City/State/Zip Code:

Position or Title:

Supervisor:

Duties (be specific):

Reason for leaving:

How long employed?

From:

To:

May we contact?

YesNo

References (3)

Name:*

Relationship:

E-mail Address:

Phone:*

Name:*

Relationship:

E-mail Address:

Phone:*

Name:*

Relationship:

E-mail address:

Phone:*

Physical History

The duties of the position for which you are applying may require you to perform heavy manual work, such as regular heavy lifting and carrying (50 lbs.), working long periods of time under strenuous working conditions and working outdoors under varying and sometimes adverse weather conditions. Can you perform these duties with or without reasonable accommodation? (Explain)*

Can you lift 50 lbs.?*

YesNo

It is required that all personnel will be regular in attendance and ready to work daily at the appointed starting time. Can you comply with this requirement with or without reasonable accommodations?*

Other comments:

Career objective with General Tree Service:*

Criminal Conviction

Some jobs at this company may not be held by persons convicted of certain crimes. If you are applying for such a position, we will ask you if you have been convicted of a crime that would disqualify you for the particular job you are interested in. The existence of a criminal record, per se, is not an automatic bar to employment with this company. We may ask if you have ever been arrested or held for a crime for which you were not convicted.

Disclaimers

I understand that consideration for employment is contingent on the results of a reference and background check. I authorize General Tree Service to investigate the truthfulness of all statements made on this application and to contact my former employers, other listed references or any other persons who can verify information. I further authorize General Tree Service to discuss the results of any investigation with all of their employees who are involved in the hiring process. I further authorize all contacted persons and former employers to provide information concerning this application, my background and suitability of employment and I release each such persons and former employers from liability for providing such information.

Applicant's Signature:*

Date:

I certify that the information contained in this application is correct to the best of my knowledge, and I understand that falsifications and/or omissions in any detail are grounds for disqualification from consideration for employment or if hired, for dismissal from employment. I further understand that if hired, my employment and compensation can be terminated, with or without cause, and with or without notice at any time, at the option of either myself or the company. I further understand that no recruiter or interviewer or other representative of General Tree Service other than the Operations manager has any authority to enter into an agreement for employment for any specified period of time.

Applicant's Signature:*

Date: