Employment Employment Form To apply for a position at K&B Tree Service, just fill out the form below. We are an Equal Opportunity Employer. Applicant Information First Name Last Name Address City State ZIP Day Phone # Evening Phone # Are there other names under which you have worked or attended school? Yes No If yes, please list for reference checking purposes: Are you legally authorized to work in the U.S.? (If hired, you will be required to provide proof of work authorization.) Yes No Are you at least 18 years old? (If not, your employment will be subject to verification that you meet state/federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit.) Yes No Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic traffic violations? Yes No If yes, explain 1) nature of crime, 2) date of conviction, and 3) state in which you were convicted. (Convictions are not an automatic bar to employment.) Do you have any pending criminal charges against you? Yes No If yes, describe 1) nature of the charges, 2) date issued, and 3) county and state where issued. Availability Position Applying For Salary Requirement Position Seeking Full Time Part Time Hours available each day of the week Are you able to perform the "essential functions" of the job for which you are applying? Yes No Need more information to respond Experience Check areas in which you have past experience Truck Driving Clutch CDL Pulling/Backing a Trailer Chainsaw Use Mechanical Skills Farm Work Check areas in which you have previous employment Tree Service Landscape Company Lawn Fertilizing/Weed Control Company Pest Control Company You are required to have a driver’s license/drive a motor vehicle for this job. State your: Driver's License # State License Type Current? Yes No Describe any relevant work experience School Most Recently Attended School Name City State # Years Attended Diploma or Degree Received? Yes No List Degree Earned College Graduate? Yes No Currently a Student? Yes No If yes, course of study Most Recent Employment Start with most recent. Name of Employer Job Title Address Supervisor's Name Dates Worked May we contact for a reference? Yes No Name of Employer Job Title Address Supervisor's Name Dates Worked May we contact for a reference? Yes No Name of Employer Job Title Address Supervisor's Name Dates Worked May we contact for a reference? Yes No References List individuals familiar with your job qualifications - no relatives or friends. (By listing these names, you are giving us permission to call and talk to these people either before or after we conduct a personal interview with you.) Name Relationship Phone Number (Day) Phone Number (Evening) Address How long have you known? Name Relationship Phone Number (Day) Phone Number (Evening) Address How long have you known? Name Relationship Phone Number (Day) Phone Number (Evening) Address How long have you known? Terms and Conditions Please Read Carefully Before Submitting This Form All information contained in this application is ture and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired. I authorize the organization to investigate my responses on this application and contact any or all of my former employees or any individuals familiar with me or my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining nay information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowlingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified.) Regardless of whether or not I become employed, I recognize that this application is not and should not be considered a contract of employment. I understand that employment here is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the organization's, unless specifically provided otherwise in a written employment contract. By checking this box, I certify that I have read and agree to the above terms and that the above information is accurate and complete When you've completed the form, just click Submit and someone will contact you about your request. Thank you. Submit Questions? Contact Us Name Email Phone Company Message Send Message 920.885.6982 available from 8am – 5pm 101 Beltline Dr.Beaver Dam, WI 53916 Facebook