General Employment Application – Curtis Earth Works

Position Applying For

Salary Desired

How Did You Learn About Us? *

Name

First

Last

Email

Address

City

State/Province

Zip/Postal

Country

How long have you lived at this address?

Home Phone

Mobile Phone

If you are under 18 years of age, can you provide required proof of your eligibility to work? *

Yes

No

Have you ever filed an application with us before? *

Yes

No

Please Provide the Date of when you last submitted an application with us

Have you ever been employed with us before? *

Yes

No

When did you last work with us?

Are you currently employed? *

Yes

No

May we contact your current employer? *

Yes

No

Do you have a valid Driver’s License? *

Yes

No

Date available for work *

Employment Desired

Are you currently on "lay-off" status and subject to recall? *

Yes

No

Can you travel if the job requires it? *

Yes

No

Have you been convicted of a felony within the past 7 years? *

Yes

No

Please Explain *