Application

Name
Address
Street Address City State ZIP Code
Phone
Email
Are you 18 years or older?
- Yes
- No
Do you have a valid driver's license?
- Yes
- No
Issuing State:
Driver's License #:
Expiration Date:
Any driving accidents or violations in the last years?
- Yes
- No
If yes, please explain:
Ever been convicted of a felony or misdemeanor?
- Yes
- No
If yes, please explain:
Can you provide proof your legal right to work in the USA?
- Yes
- No
Education
High School Name:
Years Completed:
Graduate?:
Major:
Vocational School:
Years Completed:
Graduate?:
Major:
College:
Years Completed:
Graduate?:
Major:
Last Two Paid Job References
Job One
Business Name:
Business Address:
Street Address City State ZIP Code
Business Phone Number:
Supervisor Name:
Supervisor Contact Info:
May We Contact Your Past Supervisor?
- Yes
- No
Duties:
Reason For Leaving:
Job Two
Business Name:
Business Address:
Street Address City State ZIP Code
Business Phone Number:
Supervisor Name:
Supervisor Contact Info:
May We Contact Your Past Supervisor?
- Yes
- No
Duties:
Reason For Leaving:
Irrigation Or Construction Experience If Any:
List 3 Personal References:
1.
2.
3.
How Did You Hear About Our Job Opening?
1. Why Are All Man Hole And Sewer Lids Circles?
2. How Much Can You Bench Press?
3. What Is Your Favorite Color?
4. Are You Okay With Working Over Time?
- Yes
- No
5. What Is Your Favorite Hobby?
6. Birthday Cake Or Ice Cream Cake?
7. If You Won $10,000 What Would You Do With It?
8. Joe Buys Set Of Books That Cost $45.58. He Gives The Cashier Three (3) $20 Bills And Three (3) Pennies. How Much Change Will Joe Get Back?
9. What Is Your Favorite Homonym?
10. What Anagram Do You See? (The Eyes)
By clicking submit you certify that the information you have given is true in all aspects. You also understand that any misrepresentation or omission of any facts may result in the refusal to hire and or termination.
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Education

Last Two Paid Job References

Job One

Job Two