Foreman Application

Basic Information
Position desired*
Date you can start
Salary desired*
Name*
First Last
Home Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Mobile Phone
Email*
Are you 21 or older?*
Do you have a CA driver's license?*
Are you able to drive a manual transmission?*

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Q & A
Do you have relatives working for this company?*
If yes, list their names below*
How were you referred to this company?*
Have you worked for this company before?*
Are you anticipating absences away from work of any duration?*
If yes, explain below*
Are you available to work overtime, if necessary?*
Are you available to work on weekends?*
Do you have a reliable means of transportation to and from work?*
Do you have a valid driver’s license?*
If yes, provide #, state and Exp. Date:
If driving is a requirement of the position applied for, have you had your license suspended or revoked in the last 3 years? **
If YES, please explain:
Availability to work:*
- Full-time
- Part-time
- Temp
Are you 18 years old or older?*
If hired, can you show proof of age or provide a permit to work? You will be required to do so after employment.*
If hired, can you show proof of your legal right to work in the United States? You will be required to do so after employment.*
Have you been convicted of any felony within the past seven (7) years? (A conviction is not an automatic bar to employment. Each case will be considered on it’s own merits.)*
If yes, explain below*
If required, will you undergo a Pre-Employment Physical and Drug Test?*

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References
Reference Name 1*
Reference Phone*
Relationship
Reference Name 2*
Reference Phone*
Relationship
Reference Name 3*
Reference Phone*
Relationship

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Education
Did you attend Primary Education (High School)?*
What is your major?*
Number of years completed*
Did you graduate?*
Did you attend Vocational/Technical?*
What is your major?*
Number of years completed*
Did you graduate?*
Did you attend College/University?*
What is your major?*
Number of years completed*
Did you graduate?*

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Past Work Experience
List Three Most Recent Positions Held (Starting with last position held) Do not leave out any former employer. Your employment history will be verified.
Name of current or last employer:*
Previous Job Title*
Date Previous Job Started*
Date Previous Job Ended*
Name of your immediate supervisor?*
May we contact this employer?*
Previous Job Description*
List some of your duties, your starting and final rate of pay, why did you leave?
Name of last employer:*
Previous Job Title*
Date Previous Job Started*
Date Previous Job Ended*
Name of your immediate supervisor?*
May we contact this employer?*
Previous Job Description*
List some of your duties, your starting and final rate of pay, why did you leave?
Name of last employer:
Previous Job Title
Date Previous Job Started
Date Previous Job Ended
Name of your immediate supervisor?
May we contact this employer?
Previous Job Description
List some of your duties, your starting and final rate of pay, why did you leave?
I was unemployed for more than one month:
Please identify and explain all periods of unemployment of more than one month during the past 3 years. Do not include any period of unemployment due to pregnancy or other medical reasons.
I was unemployed from
I was unemployed to
Because
I was unemployed from
I was unemployed to
Because
I was unemployed from
I was unemployed to
Because

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Driving Information
Accident Date (skip if not applicable)
Nature Of Accident (Head-On, Rear-End, Etc)
Fatalities
Injuries
Accident Date (skip if not applicable)
Nature Of Accident (Head-On, Rear-End, Etc)
Fatalities
Injuries
Have you ever been denied a license, permit or privilege to operate a motor vehicle?*
Has any license, permit or privilege ever been suspended or revoked?*

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Acknowledgement of Physical, Mental and Medical Requirements
I understand that if I am extended an offer of employment, it may be conditioned upon my successfully passing a pre-employment alcohol and drug screening examination. I understand that my job offer or my continuing employment, if hired, is contingent upon my being physically, mentally and medically able, with or without reasonable accommodation, to successfully perform the essential functions of my job. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
All production positions are physically demanding. Entry-level Employees in these positions are expected, within a reasonable time after they commence employment, to be able to do tree work. This work includes climbing trees and removing tree limbs using various hand and power tools on a continuous basis during an eight to ten hour shift; removing and disposing of tree limbs using various mechanized tools, which can require lifting and carrying up to 75 pounds. Most entry-level employees may also be required to obtain state licenses to apply pesticides and engage in duties that require exposure to various chemicals and pesticides.
Do you understand the requirements for the position?*
- I do
- I do not
I understand that if I am extended an offer of employment, it may be conditioned upon my successfully passing a pre-employment alcohol and drug screening examination. I understand that my job offer or my continuing employment, if hired, is contingent upon my being physically, mentally and medically able, with or without reasonable accommodation, to successfully perform the essential functions of my job. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
Are you physically able to safely perform these job duties with or without a reasonable accommodation?*
- I am
- I am not
Signature*
Name
This field is for validation purposes and should be left unchanged.

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Step 1 of 8 - Basic Information

Basic Information

Q & A

References

Education

Past Work Experience

I was unemployed for more than one month:

Skills

Driving Information

Acknowledgement of Physical, Mental and Medical Requirements