Application Form for Dave's Tractor World
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First Name: *
Last Name: *
Middle Name: *
Date of Birth: *
Contact
Telephone: *
Cell Phone: *
Which is the best number to reach you at? *
Required
What is the best time to call? *
Required
Email:
Would you like to sign up for our email newsletter?
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Address: Street *
Adress: City, State *
Address: Zip *
County of Residence *
Township *
Job
Job position applying for: *
Required
Are you able to perform the essential functions of the position with or without accommodations? *
Required
Are you legally eligible for employment in the U.S? *
Required
What type of position are you seeking? *
Required
If necessary for the job, are you willing to work overtime? *
Required
Are you able to provide a valid driver's license? *
Required
If so, please write in the issuing state:
And the type:
Employment History
List most recent employment first. include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here.
Employer name and address: *
Supervisor and/or Telephone:
Postition title/duties, skills: *
Start Date: *
End Date: *
Reason for leaving *
Employment History #2
Employer name and address: *
Supervisor and/or Telephone: *
Postition title/duties, skills: *
Start Date: *
End Date: *
Reason for leaving *
Employment History #3
Employer name and address: *
Supervisor and/or Telephone: *
Postition title/duties, skills: *
Start Date: *
End Date: *
Reason for leaving *
High School Education
High School Name
High School Years Completed
Clear selection
Field of Study
Graduate or Degree
College Education
College or University Name
College or University Years Completed
Clear selection
Field of Study
Graduate or Degree
Business or Technical School Education
Business or Technical School Name
Business or Technical School Years Completed
Clear selection
Field of Study
Graduate or Degree
Military
Are you a veteran? *
Required
Duty/Specialized Training:
Skills and Qualifications
If not applicable, please type N/A.
Professional licenses, certifications or registrations: *
Other qualifications such as special skills, abilities or honors that apply to the position you are inquiring: *
Types of computers, software and other equipment you are qualified to operate or repair: *
Additional skills that regard the position you are applying for that you would like to bring to our attention: *
References
Please fill in three personal references who are not relatives.
Reference #1
Name: *
Phone Number: *
Address *
Including Street, City and Zip Code
Occupation: *
Years Known: *
Reference #2
Name: *
Phone Number: *
Address *
Including Street, City and Zip Code
Occupation: *
Years Known: *
Reference #3
Name: *
Phone Number: *
Address *
Including Street, City and Zip Code
Occupation: *
Years Known: *
Information to the Applicant
As part of our processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.
If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms.

EQUAL EMPLOYMENT OPPORTUNITY: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.
Name
I understand and agree to these terms.
Date
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