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    Full Name (required)

    Email (required)

    Address (required)

    City (required)

    State (required)

    Zip Code (required)

    Phone Number (required)

    Do you have a valid MI drivers License? (required)
    YesNo

    What type of licence do you have (regular, chaffeurs, CDL)? (required)

    Please list any moving violations you have had in the past 5 years: (required)

    Are You Able To Life 50lbs? (required)
    YesNo

    Are You able to work 40-50 hours per week and sometimes Saturdays? (required)
    YesNo

    Position Desired (required)

    Salary Desired (required)

    Are You Employed? (required)
    YesNo

    If So, May We Contact Your Current Employer?
    YesNo

    Current Supervisor Name?

    Current Supervisor Phone Number?

    Have You Ever Applied To This Company Before? (required)
    YesNo

    If So, When?

    Education History

    High School Name & Location (required)

    Years Attended (required)

    Did you Graduate? (required)
    YesNo

    College Name & Location

    Years Attended

    Did you Graduate?
    YesNo

    Subjects Studied

    Trade, Tech or Business School Name & Location

    Years Attended

    Did you Graduate?
    YesNo

    Subjects Studied

    Did You Serve In The Military? (required)
    YesNo

    If so, What Rank?

    Employment History (most recent on top)

    1. Name and Address of Employer

    Date: From-To

    Salary

    Position

    Reason For Leaving

    2. Name and Address of Employer

    Date: From-To

    Salary

    Position

    Reason For Leaving

    3. Name and Address of Employer

    Date: From-To

    Salary

    Position

    Reason For Leaving

    References (non family)

    1. Name (required)

    Phone (required)

    Years Known (required)

    2. Name (required)

    Phone (required)

    Years Known (required)

    3. Name (required)

    Phone (required)

    Years Known (required)

    MDA Certifications, MDA License Number or Any Other Green Industry Experience (please list if applicable)

    I certify that the information I have given on the application is complete and correct. I understand my failure to provide complete, accurate and truthful information on the application will be grounds to reject employment or termination after employment.

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