Online Employment ApplicationPlease click here to read the employment information, responsibilities, qualifications, physical requirements, and environmental conditions. Personal Information First Name*: Middle Initial: (required) Last Name*: Street Address: City: State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip: Home Phone: Cell Phone: Are you at least 18 years old?: YesNo Date of Birth: Do you have a valid Drivers License?: YesNo Drivers License Class: Drivers License State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingHave you ever applied for or held a job with Jacobsen Tree Experts?: NoYes, applied.Yes, held a job If held a job when and what position?: What type of work will you accept?: Full-timeSeasonal/tempAre you available to work overtime and weekends?: YesNoWhat type of work are you applying for?: GroundlaborerTrimmer Salary/Wage Desired: per: houryearEmployment HistoryGive your past employment record starting with your present or last employer (past three jobs held). Include military experience if applicable. Company Name: Company Phone: Company Address: Company City: Company State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Dates of employment from: Dates of employment to: Job Title: Brief description of job duties: Company Name: Company Phone: Company Address: Company City: Company State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Dates of employment from: Dates of employment to: Job Title: Brief description of job duties: Company Name: Company Phone: Company Address: Company City: Company State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Dates of employment from: Dates of employment to: Job Title: Brief description of job duties: Education Name of High School: Complete if you graduated: Degree or Certificate Recieved: Complete if you DID NOT graduate: Last Grade Completed: Name of Technical School or College: Major: Did you graduate?: YesNoReferencesList three non-related personal references. Name: Home Telephone Number: Years Known: Street Address: City: State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming How do you know this person?: Name: Home Telephone Number: Years Known: Street Address: City: State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming How do you know this person?: Name: Home Telephone Number: Years Known: Street Address: City: State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming How do you know this person?: Skills ChecklistCheck all boxes for which you have experience:Production SkillsTree ClimbingChipperStump GrinderBucket TruckChainsawBrush SawPole SawSprayingRoping Other skills?: Do you have experience with tree work?: YesNo If yes, please describe additional training, experience and number of years of experience: Are you trained in line clearance tree trimming? YesNo If yes, When?: By whom?: Driving SkillsDo you possess a valid Commercial Driver's License? YesNo State: Number: Check all items that apply: Automatic transmissionTwo-speed rear axleTruck and chipper combinationManual multi-speed transmissionOne-ton truckBucket truckTwo-ton truckAbility 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? YesNoHave you ever had any sickness, disease or injury that would affect your ability to perform any work duties of any kind? YesNoApplicant AgreementRead carefully before submitting. By pressing the submit button below you agree to the following statements.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 my employment, 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.