Application for Employment * = required Position Applying For * Desired Salary * Employment Desired * ---Full-TimePart-TimeNo Preference Contact Information Full Name * Date of Birth * Email * Phone * Full Street Address * (include Apt/Bldg# if applicable) City * State * Zip Code * Length of time at address? * Availability Information Are you physically able to do this work? * ---YesNo Can you lift 70 lbs above your head? * ---YesNo Can you work nights? * ---YesNo When are you available for work? * How many hours can you work weekly? * What days can you work? * ---No PreferenceMonday - Friday (all times)Monday - Friday (8am-5pm)Saturday & Sunday (all times)Only specific days and times If only specific days/times, please list them here. Education and Training Information What is the highest education you've completed? * ---Jr. HighHigh SchoolVocational SchoolAssociate's DegreeBachelor's DegreeMasters Did you graduate? * ---YesNo Type of Degree/Diploma Please list any training/experience you have that would benefit the job you are applying for. Please list any farm or heavy equipment you have experience on. Do you have a current Driver’s License? * ---YesNo Do you have a clean driving record? * ---YesNo Do you have a CDL? * ---YesNo If you have a CDL, please list what class and how much actual driving experience you have since obtaining your CDL. Employment Experience and References Please provide information of your previous two employers. (1) Employer Name (1) Dates of Employment (1) Reason for Leaving (2) Employer Name (2) Dates of Employment (2) Reason for Leaving Have you ever been fired from a job for any reason? * ---YesNo If yes, please explain below. Have you ever quit a job after being notified that you were going to be fired? * ---YesNo If yes, please explain below. Please list any references you may have and their contact information. General Information Have you ever been convicted of a felony? * ---YesNo If yes, please explain below. Please state any other comments you have?