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Personal Information

Are you legally eligible for employment in the United States?
Yes
No
Are you 18 years old or older?
Yes
No
Position Applying For:

Driving History

Do you have a valid driver's license?
Yes
No
Driver's License State:

Criminal History

Have you ever been convicted of a felony?
Yes
No

Education Information

Please describe your educational background, with the most recent education listed first.

Highest Level of Education Completed:

Additional educational information

Second Highest Level of Education Completed:
Third Highest Level of Education Completed:

Employment History

Please list your most recent employment first.

Second Most-Recent Employment:

Third Most-Recent Employment:

Professional References

Please list the name and telephone number for two business/work references who are not related to you.

Reference 1

Reference 2

Resume

Disclaimers

Please read carefully before signing.


“I understand that if employment is offered, my employment may be conditioned upon the results of a medical examination to ensure my ability to perform the essential functions of the job and that as a condition of employment I will be required to take drug and alcohol screening tests and such medical examinations as may be required by 3DLM, including physical examination. I agree to submit to these required tests and understand that becoming employed and/or my continued employment are conditional upon the successful passing of these tests in accordance with Company policies and procedures, given reasonable accommodations in accordance with the Americans with Disabilities Act. I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application of employment as may be necessary in arriving at an employment decision.


I understand that if I am employed, any misrepresentation or material omission made by me on this application will be the basis for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered.


I give the employer the right to contact and obtain information from all references, employers, and educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information.


The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on any basis prohibited by local, state or federal law.


This application for employment shall be active for a period of 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.


I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge an employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing.


I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization as well as undergo a background check.


I represent and affirm that I have read and fully understand the foregoing and seek employment under these conditions."

3DLM Land Management

Tel: (833) 563-6468

11214 E. MLK Jr. Blvd

#372

Seffner, FL 33584

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