Application - Southern Outdoor Living

Name

Phone Number

Address

Social Security Number

Drivers Licence Number

State

Do you have a CDL

Yes No

Employment Desired

Position Applied for:

Date Available to work:

Expected rate an hour:

Are you presently employed

Yes No

Education

High School

College

Post-College

Trade, Business or other

Employment History and References

List at least two (2) present and past employers, starting with the most recent

Reference 1

Employer

Position

Start Date

End Date

Starting Pay

Ending Pay

Phone number of employer

Supervisor Name

Reason for leaving

May we contact this employer?

Yes No

Reference 2

Employer

Position

Start Date

End Date

Starting Pay

Ending Pay

Phone number of employer

Supervisor Name

Reason for leaving

May we contact this employer?

Yes No

Reference 3

Employer

Position

Start Date

End Date

Starting Pay

Ending Pay

Phone number of employer

Supervisor Name

Reason for leaving

May we contact this employer?

Yes No

Additional Information

Identify what skills or certifications you possess related to this position:

Identify formal job training that you feel you may need in order to excel in this position:

Have you ever been employed with this company before?

Yes No

If yes, when?

Do you have any friends or relatives employed by this company?

Yes No

If Yes, please provide their names and relationship to you:

If hired, can you provide proof of your ability to work legally in this country?

Yes No

If driving is a requirement of the position applied for, have you in the last 7 years been convicted of Driving Under the Influence (DUI)?

Yes No

If hired, do you have a reliable method of transportation to work?

Yes No

Have you ever been arrested?

Yes No

Have you ever been convicted of a crime?

Yes No

Have you ever been convicted of a felony?

Yes No

Is there anything on this application you would like to give more information about?

Submitting an employment application with false information is grounds for immediate termination of employment.

By signing the application, you are granting our company permission to contact and check your references and do a background check.

Your Name

Date

Career Application

Employment Desired

Education

Employment History and References

Additional Information

336-365-9000