Name *

First Name

Last Name

Date of Applying *

MM

DD

YYYY

Phone Number *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you legally authorized to work in the U.S.? *

YES

NO

Have you ever been convicted of a felony? (A conviction does not necessarily disqualify you from employment. We will consider the nature of the offense, the time since the conviction, and its relevance to the job.) *

YES

NO

Are you at least 18 years old? *

YES

NO

Do you have a valid driver’s license? *

YES

NO

+ CDL (Commercial Driver’s License)

Do you have reliable transportation to work? *

NO

I CAN ARRANGE TRANSPORTATION

I OWN MY OWN RELIABLE VEHICLE

Position you are applying for: *

Climber

Ground Crew

Plant Health Tech

Other

Type of employment desired: *

FULL-TIME

PART-TIME

SEASONAL

Available start date *

MM

DD

YYYY

Tree care work is physically demanding. Check the box if you are confident and capable in the following areas: *

Lifting and carryng at least 50 lbs

Working at heights over 50 feet

Working in all weather conditions (heat, cold, rain, snow)

Working 10-12 hours when necessary

Do you have experience with the following? (Check all that apply) *

Climbing with ropes & harness

Using chainsaws & power tools

Operating a chipper

Stump grinding

Tree felling & removals

Rigging & rope work

Plant health care (injections, fertilization, pest control)

Identifying tree species & diseases

First aid & CPR

Do you have any of the following Certifications?

Certified Arborist

Pesticide Applicator License

Other

Background Check Notice: If selected, are you willing to consent to a criminal background check as part of the hiring process? *

YES

NO

Acknowledgment and Signature *

By typing my name below I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that falsified information may result in disqualification from employment or termination if hired. I authorize Canopy Climber Tree Care to verify any information provided and to contact previous employers and references.

First Name

Last Name