Arborsmith Ltd. Application for Administrative Employment

Arborsmith Ltd.

28915 N. Herky Dr., Ste 102 • Lake Bluff, IL 60044 • 847-634-7734 • Fax: 847-634-8184
Application for Administrative Employment

We are an equal opportunity employer. Applications are received and employees are hired without regard to race, creed, color, sex, religion, age, national origin, marital status, handicap, disability, sexual orientation, veteran's status, citizenship status, or any other protected classes under state, local, or county regulations. The receipt of this application does not mean that a job opening exists and does not obligate us in any way. We appreciate your interest in our organization. Please note that all questions must be answered, and if a question is not applicable please state N/A".
Job you are applying for: *

Office Administration to join the Arborsmith Advantage Team
Date: *

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Name: *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number: *

Area Code Phone Number
Cell Phone or alternate contact phone: *

Area Code Phone Number
E-mail *
Last 4 digits of Social Security #: *
Please type numbers only, no dashes
How did you hear about this job? *
Website, Friend, Referral, IAA, Facebook, Craig's List, etc.
Do you have a valid Illinois Driver’s License? *

Yes No
DL#: *
Please type numbers only, no dashes or #
Have you been convicted of any traffic violations in the last 3 years? *

Yes No
If yes, please explain
Do you have reliable transportation to and from work? *

Yes No
Are you interested in working in an independant office setting where you will work alone and with others on a permenant part time basis? *

Yes No
We are assuming you have read a description of the position to which you are applying, do you feel you can do everything described in the job description *

Yes No
How do you feel your specific skill set will fufill that job requirement? *
This is a drug free work place, can you comply with this demand of employment? *

Yes No
Are you currently employed? *

Yes No
Can we contact your employer? *

Yes No
Does your current employer know of your plans to change employment? *

Yes No
Why do you desire to make a change? *
Are you on layoff and subject to a recall? *

Yes No
Have you ever been discharged or requested to resign from a position? *

Yes No
If yes, please explain:
How much time have you lost from work in the last 12 months? *
Are you legally eligible to work in the United States? (proof of citizenship/immigration status and identity is required upon employment) *

Yes No
Have you ever held a position of trust within a company where you handled money or confidential materials? *

Yes No
If yes, please explain:
Have you ever been convicted of or received sentence for a crime(s) other than minor traffic violations? (Answering yes is not an automatic bar from employment) *

Yes No
If yes, please state date, court, and place where offence(s) occurred:
Please describe a previous job that you really enjoyed explaining briefly why you liked it. *
What do you see yourself doing, in one year from now? *
What do you see yourself doing five years from now? *
Tell us about your favorite thing to do; what really gives you a good feeling when you have accomplished it? *
How would you measure success at work? *
What is your desired roll on a team? *
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How would you describe your learning style? Visual, Auditory or Kinesthetic, please explain briefly how you learn best: *
Please list any hobbies, sports, or special interests in which you participate regularly or have participated in regularly in the past. What is your favorite and why? *
List three things that are important to you in your workplace: *
List three characteristics that best describe you: *
Why do you want to work for Arborsmith Ltd.? *
Do you smoke?
(this is not a bar from employment, however, be aware that all Arborsmith buildings and vehicles are smoke free environments)
*

Yes No
This is a position where hours can be very flexible but a few hours at least three days a week are required and during our busy spring and summer season or while owners are on vacation it may be required that you come to work five days a week for a short period of time, are you agreeable to this requirement for employment? *

Yes No
Please summarize special skills and qualifications acquired from employment or other experience. *
List any professional, trade, business or civic activities held: *
Do you speak a foreign language? *

Yes No
Which one?
Education Information

Please note that all questions must be answered, and if a question is not applicable please state “N/A” or a "0" for numerical fields.
High School Name and location: *
Years completed: *
Did you graduate? *

Yes No
If yes:

Diploma G.E.D.
Trade, Business or Correspondence School: *

Yes No
Additional course work from accredited or non-accredited institutions: *

Yes No
Name and Location: *
Years completed: *
Enter zero if not applicable
Did you graduate? *

Yes No
Degree received, major subject studied, courses passed or certificate earned: *
Additional coursework or information you would like us to know about: *
College or University Name and location: *
Years completed: *
Did you graduate? *

Yes No
If yes, with what degree and major of study:
Honors received?
Graduate School Name and location:
Years completed:
Did you graduate?

Yes No
If yes, with what degree and major of study:
Military Service *

Yes No
If yes, branch of service:
Present Selective Service Classification:
Rank at Discharge:
Date of honorable discharge:

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Special training and List of Duties:
Full Employment History

MUST be completed even when accompanied by resumé. Start with your present or last job. Include ALL assignements and positions held. Be specific about information and dates. A complete work history MUST be provided. ALL employment "gaps" must be listed.<br /> <br /> Please note that all questions must be answered, and if a question is not applicable please state “N/A” or “0” for a numerical value.
Employer *
Dates Employed: List "From" Month/Year and "To" Month/Year *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number: *

Area Code Phone Number
Job Title: *
Supervisor: *
Starting Hourly Rate/Salary *
Ending Hourly Rate/Salary *
Summary of Work Performed & Job Responsibilities: *
Employment ended: *

Resigned Terminated Still Employed
State Reason for Resigned or Terminated: *
Employer *
Dates Employed: List "From" Month/Year and "To" Month/Year *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number: *

Area Code Phone Number
Job Title: *
Supervisor: *
Starting Hourly Rate/Salary *
Ending Hourly Rate/Salary *
Summary of Work Performed & Job Responsibilities: *
Employment ended: *

Resigned Terminated
State Reason for Resigned or Terminated: *
Employer *
Please enter N/A if not applicable
Dates Employed: List "From" Month/Year and "To" Month/Year *
Please enter N/A if not applicable

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number: *

Area Code Phone Number
Job Title: *
Please enter N/A if not applicable
Supervisor: *
Please enter N/A if not applicable
Starting Hourly Rate/Salary *
Please enter N/A if not applicable
Ending Hourly Rate/Salary *
Please enter N/A if not applicable
Summary of Work Performed & Job Responsibilities: *
Please enter N/A if not applicable
Employment ended:

Resigned Terminated
State Reason for Resigned or Terminated: *
Please enter N/A if not applicable
Employer *
Please enter N/A if not applicable
Dates Employed: List "From" Month/Year and "To" Month/Year *
Please enter N/A if not applicable

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number: *

Area Code Phone Number
Job Title: *
Please enter N/A if not applicable
Supervisor: *
Please enter N/A if not applicable
Starting Hourly Rate/Salary *
Please enter N/A if not applicable
Ending Hourly Rate/Salary *
Please enter N/A if not applicable
Summary of Work Performed & Job Responsibilities: *
Please enter N/A if not applicable
Employment ended:

Resigned Terminated
State Reason for Resigned or Terminated: *
Please enter N/A if not applicable
If you need additional space to provide a full work history, please complete the same information required for each Employer below:
I have completely filled out my employment history. *

Yes No
Upload Resume (optional):
Agreement -

The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit and motor vehicle records through any investigative or credit agencies or bureaus of your choice. I understand that a criminal record is not an automatic disqualification for employment. I also understand that if my application is accepted that employment with Arborsmith Ltd. is "at will". This “at will” relationship may not be changed by any written document, verbal statements, or by conduct unless such change is authorized by an officer of the company. I further understand that my “at will” employment may be terminated at any time by myself or Arborsmith Ltd. and includes no guarantee, contract or promise of employment for any specific length of time. I understand the the first ninety (90) days of employment is an introductory, new hire period.
Date of Application *

Month Day Year
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Signature of Applicant *
Typing your name in this form represents an official digital form of your signature.
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:

First Name Last Name
Phone Number

Area Code Phone Number
Years Known:

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Reference 2
Name:

First Name Last Name
Phone Number

Area Code Phone Number
Years Known:

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Should be Empty:

Arborsmith Ltd.

Application for Administrative Employment

Education Information

Full Employment History

References

Reference 1

Reference 2