Employment Application & Personnel Record Form - Eeo Employer Page 2
ADVERTISEMENT
1
2
3
4Check all boxes for which you have experience:
Administrative Office Positions Only
Calculator
Data Entry
Multi-Line Phone System – Number of lines
Typing
WPM
Copy Machine
Customer Service Call Handling
Computer Skills Please List Hardware & Software:
Production Skills (All Production Positions
Tree climbing
Stump grinder
Chain saw
Spraying
Chipper
Bucket truck
Other
Do you have any other experience doing tree work?
Yes
No
If your answer is yes, please describe any additional training, experience and the total number of years
Experience that you have:
Are you trained in line clearance tree trimming?
Yes
No
If your answer is yes, when?
By whom?
Do you have practical experience in line clearance tree trimming?
Yes
No
If your answer is yes,
How long?
Where?
Driving Skills (Driving Positions only, must be 21 years of age or older)
Commercial Driver's License:
Yes
No
____________/_____________________
Check all those that you have experience operating.
State
Number
Automatic transmission
Two-speed rear axle
Truck and chipper
Manual multi-speed Trans.
1-ton truck
Bucket truck
2-ton truck
Vehicle accident record for past 3 years or more (attach sheet if more space is needed)
Driving positions only, do not disclose your own injuries.
Date
Nature Of Accident
Fatalities
Injuries
(Head-On, Rear-End, Etc)
To Others
Last Accident
Next Previous
Next Previous
Traffic convictions for the past 3 years (other than parking violations)-Driving Positions Only
Conviction
Date
Charge
Penalty
(Attach sheet if more space is needed)
Federal DOT regulations require checks on all drivers
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business