Email * Phone Social Security # Position Date you can start Salary Desired Are you currently employed? Are you legally authorized to work in the US? Ever applied to this company before? If so, when School Name / Location Years Attended Did You Graduate? School Name / Location Years Attended Did You Graduate? School Name / Location Years Attended Did You Graduate? Former Employers
List below the last four employers, starting with the most recent one first
From and To Name & address of employer Position Reason for leaving From and To Name & address of employer Position Reason for leaving From and To Name & address of employer Position Reason for leaving References
List three professional references whom we may contact
Name Phone Relationship Name Phone Relationship Name Phone Relationship Do you have your own transportation? Have you served in the Military? Branch/ Rank Do you have any special trainings, skills or certifications that would benefit you in this field? Additional Licenses/ Certifications Please Specify Class D (Standard Driver’s License) CDL: Specify - Class A, B or C If CDL, check all endorsements that apply Do you have any physical limitations and/or past injuries that would interfere with your job performance? Please explain Agreement * “I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.” In consideration for employment with Tennett Tree Service, if employed, I agree to follow all rules, regulations, policies and procedures of Tennett Tree Service Inc. and affiliates at all times and understand that such obedience is a condition of employment. I also understand that if a position is offered, and accepted with Tennett, I will be required to submit a pre-employment drug screening, medical examination and background check as a condition of employment. I understand that unsatisfactory results or refusal to perform tests will result in termination of employment.