Employment Application

Employment Application

General Information

Applying For*

Customer Care Specialist

Irrigation Technician

Other

If other or a referral, who should we thank?

First Name*

Last Name*

Middle Initial*

Address*

City*

State*

Zip Code*

Home Phone Number

Cell Phone*

Email Address*

Are you legally eligible to work in the United States? (Proof of eligibility, citizenship, or immigration status will be required upon employment.)*

Yes

When are you available to start?*

How many hours per week?*

Are you on a layoff and subject to recall?*

Yes

Availability*

Please tell us weekdays and times you are available to work

Drivers License

Do you have a valid driver's license?*

Yes

License Number

State of Issue

License Type

Class A CDL (Commercial Driver's License)

Class B CDL (Commercial Driver's License)

Class C CDL (Commercial Driver's License)

Regular (Non-Commercial) Driver's License

No Driver's License

Expiration Date

Number of accidents in the past three years*

Number of moving violations in the past three years*

Have you ever been convicted of a crime (other than a minor traffic violation)*

Yes

If yes, please explain.

Education - High School

Name of School*

Number of Years Completed*

Major & Degree*

Location (complete mailing address)*

College

College: Name of School

College: Number of Years Completed

College: Major & Degree

College: Location (complete mailing address)

Vocational or Trade School

Vocational or Trade School: Name of School

Vocational or Trade SchooNumber of Years Completed

Vocational or Trade School: Major & Degree

Vocational: Location (complete mailing address)

Graduate

Graduate School: Name of School

Graduate School: Number of Years Completed

Graduate School: Major & Degree

Graduate School: Location (complete mailing addres

Military

Are you a veteran of the United States military service?

Yes

If yes, what branch?

Date Entered

Date Discharged

If yes, please describe any special skills or training acquired while in the service.

Other Special Skills

Please list other special skills you may have, e.g., fluency in other languages, licenses, special training or certifications for the position for which you are applying, etc.

Previous Work History

Previous Job 1

Company

Job Title

Pay Rate/Salary

Manager's Name

Manager's Phone Number

Job Responsibilities

Reason for Leaving

Previous Job 2

Company

Job Title

Date Started

Date Ended

Pay Rate/Salary

Manager's Name

Manager's Phone Number

Job Responsibilities

Reason for Leaving

Resume

Please upload your resume with previous work history and references

Drag and drop files here or

Waivers and Disclosures

I understand the below conditions and attest all information I have given is true and correct.*

AT-WILL EMPLOYMENT: It is my understanding that this application for employment does not represent a contract of employment or a promise of future benefits by Daily Rain, Inc. I understand and agree that, if hired, my employment will be At-Will and may be terminated, with or without cause, at any time, by either myself or my employer. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of the Company.

CERTIFICATION OF TRUTH AND ACCURACY: I certify that the information in this application is true, complete and correct. I understand that false answers, statements or omissions made by me on this form shall be sufficient cause for denial or termination of employment.

NOTIFICATION AND AUTHORIZATION TO REQUIRE A MEDICAL EXAMINATION: I hereby certify that, if hired, I will disclose any limitations I have that may impact my ability to do the job. I understand that any offer of employment, written or verbal, may be conditional upon completion of a satisfactory drug screen and background check or credit check.

NOTIFICATION AND AUTHORIZATION TO CONDUCT BACKGROUND INVESTIGATION AND/OR CREDIT CHECK: I understand that

I am subject to a background and credit check, and hereby authorize Daily Rain, Inc., and/or any of its agents or representatives to investigate my background and financial credit to determine any and all information of concern as to my record, whether same is of record or not, and I release employers, financial institutions and persons named in my application from all liability for any damages on account of his/her furnishing said information.

Additionally, you are hereby authorized to make any investigation of my personal history, educational background, military record, motor vehicle records, criminal records and credit history through an investigative or credit agency or bureau of your choice. I authorize the release of this information by the appropriate agencies to the investigating service. This authorization shall be valid for this and for any future reports and updates that may be required.

I understand that this pre-screening process is a condition of employment. A negative background check or positive drug screen may be grounds for dismissal, even if an offer has been made to me and I have been hired.

Yes

Send me a copy of my responses

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