Employment Application
VAN YAHRES TREE COMPANY
An Equal Opportunity Employer
IDENTIFICATION AND CONTACT INFORMATION
Name
First *
Your answer
Middle
Your answer
Last *
Your answer
Present Address
Street *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Telephone Number *
Your answer
Email Address *
Your answer
DESIRED EMPLOYMENT
Position
Your answer
Date Available to Start
MM
/
DD
/
YYYY
Are you currently employed?
If so, may we contact your present employer?
Have you ever worked at VYTC before?
If yes, then when?
Your answer
Reason for leaving
Your answer
Name of last supervisor at VYTC
Your answer
EMPLOYMENT AUTHORIZATION
Are you legally authorized to work in the United States?
Will you now or in the future require sponsorship for a U.S. work visa?
Do you meet the minimum age requirement (18 years)?
EDUCATION
High School
Name and Location of School
Your answer
# of Years Attended
Your answer
Did You Graduate?
College
Name and Location of School
Your answer
# of Years Attended
Your answer
Did You Graduate?
Course of Study/Degree
Your answer
Trade Business or Correspondence School
Name and Location of School
Your answer
# of Years Attended
Your answer
Did You Graduate?
Course of Study/Degree
Your answer
EMPLOYMENT HISTORY
List below the last three (3) employers, starting with the most recent
1. Name of Present or Last Employer
Your answer
Address
Street
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Job Title
Your answer
Description of Work
Your answer
Reason for Leaving
Your answer
May We Contact Your Supervisor?
Name of Supervisor
Your answer
Title
Your answer
Phone
Your answer
2. Name of Previous Employer
Your answer
Address
Street
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Job Title
Your answer
Description of Work
Your answer
Reason for Leaving
Your answer
May We Contact Your Supervisor?
Name of Supervisor
Your answer
Title
Your answer
Phone
Your answer
3. Name of Previous Employer
Your answer
Address
Street
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Your answer
Start Date
MM
/
DD
/
YYYY
End Date
MM
/
DD
/
YYYY
Job Title
Your answer
Description of Work
Your answer
Reason for Leaving
Your answer
May We Contact Your Supervisor?
Name of Supervisor
Your answer
Title
Your answer
Phone
Your answer
PERSONAL AND PROFESSIONAL REFERENCES
Below, give the names of three persons you are not related to, whom you have known at least one year.
1. Name
Your answer
Business, If This Is a Professional Relationship
Your answer
Relationship To You
Your answer
Phone
Your answer
Email
Your answer
Years Acquainted
Your answer
2. Name
Your answer
Business, If This Is a Professional Relationship
Your answer
Relationship To You
Your answer
Phone
Your answer
Email
Your answer
Years Acquainted
Your answer
3. Name
Your answer
Business, If This Is a Professional Relationship
Your answer
Relationship To You
Your answer
Phone
Your answer
Email
Your answer
Years Acquainted
Your answer
SERVICE RECORD
Branch of Service
Your answer
Discharge Date
MM
/
DD
/
YYYY
Rank
Your answer
TELL US MORE ABOUT YOU AND WHY YOU WOULD BE A GOOD FIT FOR VAN YAHRES TREE COMPANY
Your answer
ADDITIONAL INFORMATION
Answers to the following questions do not necessarily qualify/disqualify an applicant from employment
Do you have a valid Virginia driver’s license?
Can you drive a truck with a standard shift?
Do you know your way around Charlottesville?
Do you know your way around Albemarle County?
Can you identify trees?
Can you identify shrubs and ornamental plants?
Can you use a chainsaw?
Have you worked with a chipper?
Have you worked with a truck-type spray pump?
Do you have a Virginia Pesticide License?
Do you have current ISA certification?
Do you have First Aid certification from the American Red Cross?
Do you have CPR certification from the American Red Cross?
Are you able to perform heavy lifting an other physically demanding work?
You may email a resume to treehiring@gmail.com. Please indicate here whether you'll be sending us a file.
AUTHORIZATION
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that,
if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any
and all information concerning my previous employment and any pertinent information they may have, personal or otherwise
and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for
employment for any specified period of time, or make any agreement contrary to the foregoing, unless it is in writing and
signed by an authorized company representative.
*
Required
Date
MM
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YYYY
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