Name *

First

Middle

Last

Address

Address Line 1

City

State

Zip Code

Home Phone

Cell Phone

Date of Birth

Are you at least 18 years old?

Do you have a valid Drivers License?

Drivers License Class

Drivers License State

Have you ever applied for or held a job with Jacobsen Tree Experts?

No
Yes, applied.
Yes, held a job.

If held a job when and what position?

What type of work will you accept?

Full Time
Seasonal/Temp

Check all that apply.

Are you available to work overtime and weekends?

What type of work are you applying for?

Groundlaborer
Trimmer

Check all that apply.

Salary/Wage Desired

Per

Give your past employment record starting with your present or last employer (past three jobs held). Include military experience if applicable.

Company #1

Company Name

Company Phone

Company Address

Address Line 1

City

State

Zip Code

Date Started

Date Ended

Job Title

Brief description of job duties

Company #2

Company Name

Company Phone

Company Address

Address Line 1

City

State

Zip Code

Date Started

Date Ended

Job Title

Brief description of job duties

Company #3

Company Name

Company Phone

Company Address

Address Line 1

City

State

Zip Code

Date Started

Date Ended

Job Title

Brief description of job duties

Name of High School

Did you graduate?

Last Grade Completed

Name of Technical School or College

Major

Did you graduate?

Degree or Certificate Recieved

List three non-related personal references.

Reference #1

Name

Home Phone

Years Known

Address

Address Line 1

City

State

Zip Code

How do you know this person?

Reference 2

Name

Home Phone

Years Known

Address

Address Line 1

City

State

Zip Code

How do you know this person?

Reference #3

Name

Home Phone

Years Known

Address

Address Line 1

City

State

Zip Code

How do you know this person?

Production Skills

Tree Climbing
Chipper
Stump Grinder
Bucket Truck
Chainsaw
Brush Saw
Pole Saw
Spraying
Roping
Other

Check all that apply.

Other skills?

Do you have experience with tree work?

If yes, please describe additional training, experience and number of years of experience

Are you trained in line clearance tree trimming?

basis 50-100 Do

When?

By whom?

Do you possess a valid Commercial Driver's License?

State

Number

Licensed For

Automatic Transmission
Two-speed rear axle
Truck and chipper combination
Manual multi-speed transmission
One-ton truck
Bucket Truck
Two-ton truck

Check all that apply.

Ability to Perform Essential Functions of the Job: All positions are physically demanding. Entry-level employees in these positions are expected, within a reasonable time after they commence employment, to be able to perform tree work. This includes, but is not limited to, climbing trees and removing limbs using various hand and power tools on a continual basis during an eight to twelve hour shift; removing and disposing of tree limbs using various mechanized tools, which can require lifting and carrying from 50-100 pound loads. Are you physically able to safely perform these job duties with or without a reasonable accommodation?

Have you ever had any sickness, disease or injury that would affect your ability to perform any work duties of any kind?

Read carefully before submitting. By pressing the submit button below you agree to the following statements.

Applicant Agreement

I have read and agree to the following

I certify that the statements and information furnished by me in this application are true and correct and I understand that falsification of such statements or information will result in withdrawal of the employment offer, or immediate dismissal.

I authorize investigation of all statements contained herein and the references provided, and all information concerning my previous employment.

I authorize investigation of my motor vehicle record.

In consideration of myemployment, I agree to conform to the rules, regulations and policies of Jacobsen Tree Experts, Inc.; which may require me to submit to any tests or examinations including drug testing and/or a medical examination.

I understand and agree that, if hired, my employment at will and I may be terminated at any time without prior notice and without cause.

Employment

Career Paths

Company #1

Company #2

Company #3

Reference #1

Reference 2

Reference #3

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