Online Employment Application

Please click here to read the employment information, responsibilities, qualifications, physical requirements, and environmental conditions.

Personal Information

First  MI  Last Name

Street Address

City  State   

Zip Code

Home Telephone Number

Cellular Phone Number    

Social Security Number     

Are you at least 18 years old? Yes No   

Date of Birth

Do you have a valid Drivers License? Yes No

Drivers License Number

Class  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

Are you available to work overtime and weekends? Yes No

What type of work are you applying for? Groundlaborer Trimmer

Salary/Wage Desired  per hour year


Employment History

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

Company Name  Phone

Address

City  State 

Dates of employment: From  To

Job Title  

Brief description of job duties:

 

Company Name  Phone

Address

City  State 

Dates of employment: From  To

Job Title  

Brief description of job duties:

Company Name  Phone

Address

City  State 

Dates of employment: From  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? Yes No

References

List three non-related personal references.

Name

Home Telephone Number  Years Known

Street Address

City  State

How do you know this person?

Name

Home Telephone Number  Years Known

Street Address

City  State

How do you know this person?

Name

Home Telephone Number  Years Known

Street Address

City  State

How do you know this person?


Skills Checklist

Check all boxes for which you have experience:

Production Skills

Tree Climbing Chipper Stump Grinder Bucket Truck

Chainsaw Brush Saw Pole Saw Spraying Roping

Other

Do you have any other experience with tree work? Yes No

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

Are you trained in line clearance tree trimming? Yes No

If yes,    When?   By whom?

Driving Skills

Do you possess a valid Commercial Driver's License?

No Yes State  Number

Check all items that apply:

Automatic transmission Two-speed rear axle

Truck and chipper combination Manual multi-speed transmission

one-ton truck Bucket truck two-ton truck

 

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? Y N

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


Applicant Agreement

Read 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.