Employment Application

Name( First & Last):*

Address:*

Town:*

State:*

Zip Code:*

Email Address:*

Cell Phone:*

Home Phone:*

Desired Position(check off all you desire to apply for):*
Equipment Operator
Part time Assistant
Plow Truck Operator
Sidewalk Crew Foreman

Years of Experience:*

Are you available 24 hours a day/ 7 days a week from November 15 thru April 1?:*
yes
no

If not what is you availability?:

Please check off types of equipment you have operated in the past.(check all that apply):*
Does Not Apply
Salt spreader on truck
skid steer
Snow plowing in truck
Snowblower
Wheel loader with snow pusher

We require a one (1) hour response time from "call out" to be "on site". Is this possible for you?:*
yes
no

What types of snow contract services have you performed in the past? (Check all that apply):*
Apartments
Condominiums
Department Stores
Does not apply
Industrial Buildings
Large Malls
Office Buildings
Office Buildings
Residential Driveways
Restaurants
Strip Malls

Are you legally eligible for employment in the United States?:*
yes
no

Drivers License#:*

Is your drivers license free of points?:*
yes
no

Have you had a DWI in the past 3 years?:*
yes
no

Have you had any accidents in the past 3 years?:*
yes
no

Reference #1 Name:*

Company:

Email:

Dates Employed:

Phone Number:*

Job Description:*

Reference #2 Name:

Company:

Email:

Phone Number:

Job Description:

Dates Employed:

How did you hear of us?:*
Craigslist
Google
www.xtremesnowpros.com

Area you would like to work in::*
Atlantic City Area
Northeast New Jersey

Do you have high speed internet access from home for our online training course?:*
yes
no

Do you have Skype Video for an online interview?:*
yes
no

General Infomation (anything that would be helpful for us to know):

Please type the text below: