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Social Security Number:	Invalid format. The SSN must contain 9 digits (no-hyphens)Invalid format. The SSN must contain 9 digits (no-hyphens)Invalid format. The SSN must contain 9 digits (no-hyphens)Invalid format. The SSN must contain 9 digits (no-hyphens)Invalid format. The SSN must contain 9 digits (no-hyphens)

Have you ever filed an application with ECI/WECI?	Yes No If Yes, When:
Have you ever been employed by ECI/WECI?	Yes No If Yes, When:
Are you currently employed?	Yes No If Yes, may we contact your employer? Yes No
When can you start work?	Immediately Other, describe:
I am available to work:	Full Time Part Time Temporary
Can you travel frequently?	Yes No If Yes: Day Trips Overnight(s) Long Term
Are you willing to relocate?	Yes No If Yes: Northeast Southeast Midwest Northwest Southwest Other
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in the United States?	Yes No Proof of citizenship or immigration status will be required before employment.
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)?	Yes No If yes, state nature of the crimes(s), when and where convicted, and disposition of the case: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the dates of the offense, the surrounding circumstances and the relevance of the offense to the position applied for, may however, be considered.
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations?	Yes No If no, describe the functions that can not be performed: We comply with the ADA and consider reasonable accommodations measures that may be necessary for eligible applicants/employees to perform essential functions.
Have you been issued a citation for a moving violation or have you been involved in an auto accident in the past 3 years?	Yes No You must submit a “clean” MVR prior to hire. We will also run MVR reports periodically after hire.

I certify that answers given herein are true and complete to the best of my knowledge. By signing this application, I authorize investigation of all statements (including employment, education, and criminal history) contained in this application for employment as may be necessary to arrive at an employment decision. This application shall be considered active and on file for a period of time not to exceed 45 days.

I understand if an offer of employment is extended, I must complete and successfully pass a pre-employment drug screen. I must also present a current copy of my Motor Vehicles Record indicating a clean driving record.

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 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 such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview( s) may result in immediate discharge. I also understand that I am required to abide by all current and future rules and regulations of the employer.

Check box if you agree with the above statements.

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, ancestry, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

	Name and Location of College or School:	Major:	Degree (AA, AS, BS, MS, etc):
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International Society of Arboriculture
Utility Arborist Association
Tree Care Industry Association
Society of American Foresters

ISA Certified Arborist
Herbicide Applicator License
Other
Other

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Please describe your experience with computers, if any, and include information on your proficiency in Microsoft applications such as Excel, Word, Access, Outlook, PowerPoint, and other programs.

Do you have any other experience, training, qualifications, or skills that make you especially suited for employment with ECI or Western ECI? If Yes, describe (Please do not paste resume here):

How did you hear about us?

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Other:

ECI / Western ECI is an Equal Opportunity/Affirmative Action Employer and subject to certain reporting and affirmative action requirements. The information required on this form is requested only so that we may meet our Equal Opportunity/Affirmative Action obligations.

Your completion of this form is purely voluntary and will not, in any way, affect your consideration for employment. This form will be kept in a confidential file and a database which are separate from employment applications and resumes.

Gender:	Male Female Prefer not to answer
Race/Ethnicity:	Hispanic or Latino White Black or African American Asian Native Hawaiian or Pacific Islander American Indian or Alaskan Native Two or more races - All persons who identify with more than one of the above six race categories Prefer not to answer