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LEASBURG WEATHER

Application

ApplicationJess Bostick2022-12-26T21:02:58-06:00

All Applicants Welcomed..
Flexible hours. Dependability matters.
Pay will be based on experience.

First & Last Name *

Address (Street, City, State, Zip Code) *

Phone Number *

Email *

Date Available *

Age *

17 & Under
18+

Date of Birth *

Check if applicable *

Valid Driver License
Class E License
CDL - Class A
CDL - Class B
CDL - Class C

Are you a citizen of the United States? *

Yes
No

If no, are you authorized to work in the U.S.?

Yes
No

Have you ever worked for this company? *

Yes
No

If so, when?

Are you in any legal situations? *

Yes
No

If yes, explain:

Please check any areas of experience *

Mowing
Weed Eating
Tree Cutting
Fence Building
Building Construction & Repairs
Electric
Plumbing
Grading
Brush Hogging
Hay - Cut/Rake/Bale/Haul
None of the Above

Please check any equipment experience areas *

Tractor
Skid Steer
Backhoe
Dump Truck
Mini Excavator

Education *

GED
High School Diploma
Certificate
Associate's Degree
Bachelor's Degree

High School (if applicable)

College (if applicable)

Reference #1: Full Name *

Reference #1: Relationship *

Reference #1: Company *

Reference #1: Phone Number *

Reference #2: Full Name *

Reference #2: Relationship *

Reference #2: Company *

Reference #2: Phone Number *

Reference #3: Full Name *

Reference #3: Relationship *

Reference #3: Company *

Reference #3: Phone Number *

Work History #1: Company Name *

Work History #1: Supervisor *

Work History #1: Phone Number *

Work History #1: Responsibilities *

Work History #1: Start & End Date *

Work History #1: Start & End Salary *

Work History #1: Reason for Leaving *

Work History #2: Company Name

Work History #2: Supervisor

Work History #2: Phone Number

Work History #2: Responsibilities

Work History #2: Start & End Date

Work History #2: Start & End Salary

Work History #2: Reason for Leaving

Military Service *

Yes
No

Signature *

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature Date *

Leasburg & Bourbon, Missouri
573-245-0010
info@riverhillsretreats.com

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