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Employment Application

Please fill in the form completely and click the “Submit” button at the bottom of the page. Thank you!
First Name*
Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone*
Email*
What position are you applying for?*
How did you hear about the position?*
What is the wage desired?*
Indicate the equipment you have operated?*
- Select All
- Skid Loader (Bobcat)
- Backhoe
- Trencher
- Dozer
- Dump Truck
Do you have mechanical ability?*
- Yes
- No
Describe your landscape and irrigation experience:*
Please list your most recent employers' name, phone number, years with the company, wage and the reason you left:*
Please list your second most recent employers' name, phone number, years with the company, wage and the reason you left:*
Do you have a valid Driver's License?*
- Yes
- No
Do you have a CDL?*
- Yes
- No
Do you have a clean driving record?*
- Yes
- No
Have you ever been convicted of Negligent Driving?*
- Yes
- No
Would you provide a copy of your driving record?*
- Yes
- No
Do you own a dependable car?*
- Yes
- No
Are you willing to work all over the Puget Sound area?*
- Yes
- No
Are you punctual and dependable?*
- Yes
- No
Are you available to work now?*
- Yes
- No
Would you take a pre-employment drug test?*
- Yes
- No
Is there anything preventing you from acquiring Military/Security clearance?*
- Yes
- No
Could we do a background check?*
- Yes
- No
Do you own a phone where we can reach you?*
- Yes
- No
When are you available? Check all that apply.*
- Full Time
- Part Time
- Weekends
References
Minimum of two required
Reference #1 Name*
Reference #1 Business*
Reference #1 Phone Number*
Reference #1 Relationship*
Reference #2 Name*
Reference #2 Business*
Reference #2 Phone Number*
Reference #2 Relationship*
Reference #3 Name
Reference #3 Business
Reference #3 Phone Number
Reference #3 Relationship
Any other comments you would like to include on your application:
I certify, by clicking on the "Submit Employment Application" button that this information is accurate and complete. Giving incomplete or false information is a serious matter and is grounds for dismissal and forfeiture of related benefits.

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12411 Wagner Road Monroe, WA 98272

206-625-1749

360-794-7579

[email protected]

About Us

Pacific Earth Works WBE is an equal opportunity employer, encouraging diversity and inclusion in our workforce as well as with our subcontractors and suppliers.

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Pacific Earth Works WBE