ROCKY FORK COMPANY
Fence and Landscape Services
11231 Johnstown Road
New Albany, Ohio 43054
(614)855-7722
EMPLOYMENT APPLICATION

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classification.

The Rocky Fork Company is a Drug-Free/Alcohol-Free Workplace.
 Pre-employment drug testing is a mandatory requirement for employment at our company.  In addition, all employees of the Rocky Fork Company are subject to reasonable suspicion, random and post-accident drug and or alcohol testing.

 Personal Information
Name:

 
First                       Last

      
Present Address:

 
Street    

  
City
State
Zip
Home Phone:      
E-Mail Address:
Are you 18 years or older?: Yes  No  
When can you start working (If other, explain)
Can you work overtime: Yes  No
Position Desired:
Pay Desired:  
Have you ever worked for Rocky Fork Company in the past? No  Yes   (If yes, when?)
How did you hear about Rocky Fork Company?
  Education
School Level Name/Location of School No. of Years Attended Date of Attendance/Completion
High School
College
Trade Training
  Past Employment   List Your Last Three Employers, starting with  Most Recent
START DATE - Month/Year   END DATE - Month/Year EMPLOYER NAME SUPERVISOR PHONE SALARY POSITION REASON
FOR LEAVING
 
 
 
 DRIVING INFORMATION
Do you have a valid driver's license? No  Yes   State Issued:     
Do you have more than 4 violation points on your drivers license? No  Yes Have you received an OMVI or DUI within the past 5 years? No Yes
Do you have a CDL License?   No Yes     Class:  Class A  Class B
  Job Related Skills
 
Check any skills that apply to you, if none apply please check the NONE box:    

Commercial Mowing equipment  

String trimmers  

 Backpack Blowers

Backpack Sprayers  

Skid Steer (New Holland/Bobcat)   

Back Hoe

Trencher 

Tree Spade   

Front End Loader    

 Hydro-Seeder

Chainsaw 

Hedge Trimmers   

Edger     

 NONE
  References   (Include only individuals familiar with your work ability, do not include relatives)
Name Phone Name of Business/Address Years
Acquainted
  Authorization
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the company to investigate my background and all statements contained in the application, as may be necessary in arriving at any employment decision (including criminal history and motor vehicle driving records). (By checking this, I agree to the above as if I had signed my initials) 

I understand that this application is not a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview will result in termination. In the event that I am employed, I agree to abide by all policies and standards of Rocky Fork Company. (By checking this, I agree to the above as if I had signed my initials) 

Signature:       
Date:

(By placing my name here, I agree to the above as if I had given my signature.)

           

Thank you for your interest in the Rocky Fork Company.  We will keep your application on file for six (6) months.  If we feel your skills and background are a match for any of our open positions we will contact you.  You can also print this application and deliver it to our office Monday-Friday 8:00am-4:00pm or fax it to us at (614) 855-7724.
Thank you.

Phone (614)855-7722    Fax (614)855-7724     Email: employment@rockyfork.com