Employment Application

Name:

Date:

Address:

Daytime Phone:

Evening Phone:

Email:

Position(s) Applied For:

Date available to start work:

If applicable, the date you will be returning to college:

Do you have long absences or trips planned that would affect your ability to work?

Property you would be interested in:

Current / Most Recent Work Experience:

Position

Employer:

Position/Dates employed:

Reason for Leaving:

Professional References (You must provide at least one):

Reference

Name:

Phone / Email:

Relationship to you:

Best time to call:

Personal References (No relatives please):

Reference

Name:

Phone / Email:

Relationship to you:

Best time to call:

Questions:

Do you have any limitations that would prevent you from doing the job you are applying for?

Would you be willing to take a drug test?

Have you ever been convicted of a felony? If yes, please explain:

I certify that answers given above are true and complete. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I also understand that I am required to abide by all rules and regulations of the employer. I hereby give permission to have my previous employers and my references contacted.

Signature of Applicant

Date

Mailing Address:

P.O. Box 740

Dorset, VT 05251

Phone: 802.867.5500

Physical Address:

8 Church Street

Dorset, VT 05251

Email: [email protected]

OUR PROPERTIES: