Front Desk Receptionist Application - Pacific Coast Tree Experts

Basic Information
Position desired*
Date you can start
MM slash DD slash YYYY
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 bilingual in Spanish and English?*
Are you proficient with Word and Excel?*

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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*
MM slash DD slash YYYY
Date Previous Job Ended*
MM slash DD slash YYYY
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*
MM slash DD slash YYYY
Date Previous Job Ended*
MM slash DD slash YYYY
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
MM slash DD slash YYYY
Date Previous Job Ended
MM slash DD slash YYYY
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
MM slash DD slash YYYY
I was unemployed to
MM slash DD slash YYYY
Because
I was unemployed from
MM slash DD slash YYYY
I was unemployed to
MM slash DD slash YYYY
Because
I was unemployed from
MM slash DD slash YYYY
I was unemployed to
MM slash DD slash YYYY
Because

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Skills
Office/Clerical Skills*
- Calculator
- Data Entry
- Multi-Line Phone System
- Copy Machine/Fax
- Typing
- Customer Service Call Handling
- None of the Above
Computer Skills Please List Hardware & Software:

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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 7 - Basic Information

Basic Information

Q & A

References

Education

Past Work Experience

I was unemployed for more than one month:

Skills

Acknowledgement of Physical, Mental and Medical Requirements