Important Note:
Please provide only the information requested in this application form. Failure to do so will result in disqualification of your application.


Please select one of the following work locations:



Personal Information:

First Name:


Last Name:


Address:


City:


State:


Zip Code:


Last 4 of your Social Security Number:


Telephone:


Email:


Have you ever applied for or worked for McCoy Tree Surgery before?

List name and relationship of any relatives currently employed by McCoy Tree Surgery:


Are you at least 18 years of age?

Work Information:

Present Employer:

Past Employers:


Background

Have you ever been convicted of a crime other than minor traffic offenses, or received a probated sentence including deferred adjudication?

Have you ever been assigned a probation officer?

Have you ever pleaded nolo contendere (no contest) or guilty to a crime?

If the answer to any of the above three questions is "yes," please explain and include the city and state. A "yes" response to any of the above questions will not necessarily disqualify you from employment.


Have you ever been discharged or asked to resign from a job?

If yes, please explain each occasion when this has occurred.


In case of emergency, notify:

Emergency Contact Name:


Emergency Telephone:


Certification:

I understand and agree that if I am employed, my employment will be for an indefinite period. I understand and agree that my employment may be terminated at any time without notice or cause.

I hereby grant permission to McCoy Tree Surgery to investigate my previous employment, educational background, character references, criminal history and any other information included on this application, or any other documents provided by me.

I hereby release and discharge McCoy Tree Surgery, as well as any and all other companies, agencies or persons, who request or provide any information about me in connection with McCoy Tree Surgery's investigation of my previous employment and of the other information about me as provided above, from any and all claims, liabilities and damages for obtaining or releasing information about me.

I verify that all of the information provided on this application for employment form, and on any documents that I have submitted to McCoy Tree Surgery, is true, complete, and correct. If McCoy Tree Surgery discovers that I have given false, misleading, or incomplete information on this application, or other documents submitted by me, McCoy Tree Surgery may consider me ineligible for employment, and, if employed, I may no longer be eligible for continued employment.

I understand that McCoy Tree Surgery does not tolerate the illegal use or possession of drugs by employees. I also understand that McCoy Tree Surgery does not tolerate on-the-job possession or use of alcoholic beverages. I understand that McCoy Tree Surgery may conduct drug and alcohol testing of employees, and that submission to such testing is a condition of employment and of continued employment. I also understand that if I am offered employment, I may be required to submit to drug and alcohol testing as a condition of employment. I hereby give my consent to medical examination, including blood work, urinalysis, breath analyzer and/or drug testing when requested by McCoy Tree Surgery. I understand that my refusal to consent to such a request is a violation of the personnel policies of McCoy Tree Surgery, for which I will be ineligible for employment or discharged. I hereby give my consent to the release of any health screening information, including the results of any drug and alcohol tests, to McCoy Tree Surgery.

I understand that if employed, I will be required to complete a federal I-9 form, and provide verification of my identity and of my eligibility to legally work in the United States.

If I am employed, I agree to comply with all policies, rules and procedures of McCoy Tree Surgery.

Applicant's Signature (enter your name signifying that you agree with this certification):


Equal Employment Opportunity:

McCoy Tree Surgery is an Equal Opportunity Employer and endeavors to select the most qualified applicants without regard to sex, race, religion, color, national origin, age, citizenship, disability, veteran status, or any other status protected by law. McCoy Tree Surgery prohibits harassment on any of these bases in the work place.