ࡱ> '& ɀ\pBrett Kacalek Ba==K48X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)                + ) , *       @    (@  ( "    ( `{Sheet18 pCName:Address: City, State:PhonePhone:'Person to contact in case of emergency:#How did you hear about our company?Position you are applying for:Employment Application Education High school:College:)Did you graduate? ________yes ________noYears completed:GPA:Employment HistoryPBeginning with your most recent employer, please list the following information: Employer:&Employed from:___________To:__________Beginning Salary:Ending Salary:May we contact?________ Job Title Supervisor:Describe your duties:Reason for leaving:Personal ReferencesNameAddressRelationship/yrs known-Are you willing to work four ten hour days? YesNo"Are you willing to work Saturdays?_If Hired, are you willing to provide this company with a driving record for insurance purposes?If yes, please initial:7Please list any injuries you have had in the last year:8Have you ever been treated or diagnosed for back injury?1Have you ever filed a workers compensation claim?If yes, please explain:4Please mark below which equipment you have operated: 21" Mower 36" Mid mowerString trimmerEdgerOther(Are you a licensed pesticide applicator?UPlease describe any other skills, experience, or related education that you may have:Signed:Date:!Earthworks Landscape Service, Inc+If no, are you willing to get your license?(If Yes: License #_______________________(Are you a licensed landscape contractor? Print Name:&Do you have an Oregon Drivers License?ODL#:Trencher Track hoe Categories:I certify that the answers given by myself to the foregoing questions and statements are true and correct without consequential omission of any kind whatsoever. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers, or omission made by myself in this application. I agree to submit to a physical examination. I also authorize any school, employer or other person named above to release any information regarding my employment or otherwise about myself. I hereby release said employers, schools, and other persons named from liability for damage caused by issuing this information. Endorsements: Uniloader 0 turn mowers Power shearsTSSN#_______________________________________________ Birthdate_____________________ (Optional)J RJ,r  9 0 ! ɀ  j -(G*  dMbP?_*+%6(ffffff?)= ףp=?M6HP OfficeJet G85XC od,,LetterDINU"4$ $$$$"d,,??chUj                          2                                            4 (((""$>&,<<F"& ! " @# $ % & ' ( ) * + - . / 0 1 2 3 4 6 8 9 h: h; h< = > ?   ! # # # $ $ $ $ % % % % & & & & & '' (() **+ - - - . . . . / / / / 0 0 0 0 0 11 223 44 6 8 8 8 8:; <A <B == == = >!> >> > ?7? ?? ? >0&,<<F"&&,<<F"&&8>>@ @A B C D @E F G ^@H ;@I @J |@K L @N O P Q R S m@T U V @W G@X G@Y @Z [ @\ @] @^ @_ Y@@@ A"B BB B B# B C8 C C= C D D E$EF H%I II I K&K KK K L'L N(O O)O O+O O9P P*P P,P P:Q Q?Q Q@Q Q>R R-S T5T TT T U4 U V.V VV V W3W WW W X4 X;XYY Z/[\]^ _<_BXN: 0>&HHH">>>.` a b c d e f h i `abcdef h0h h1 h i6i<>3@<d@@@ _f7gg Oh+'0HP`x KacalekBrett KacalekxMicrosoft Excel@1@@>vM՜.+,0 PXd lt| 1 Sheet1  Worksheets  !"#$%Root Entry F mMz9Workbook*SummaryInformation(DocumentSummaryInformation8