Applications Fill out and submit Pre-Employment Questionnaire and or Driver Application below. 1 Driver Application Click Here to download Driver Application, fill out and either mail or fax. Pre-Employment Questionnaire Personal Information Today's Date* MM slash DD slash YYYY Name* First Last Present Address* Street Address Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Is the above address also your permanent address?* Yes No Phone* Secondary Phone No. Referred by: Employment Desired Position* Date You Can Start* MM slash DD slash YYYY Salary Desired* Are You Employed Now?* Yes No Have you ever applied to this company before? Yes No Education History HIGH SCHOOL:* Name and Location Did you graduate from High School?* Yes No Years Attended High School* Subjects Studied in High School* COLLEGE: Name and location Did You Graduate from College? Yes No Years Attended College Subjects Studied in College? TRADE/BUSINESS SCHOOL Name and Location Did you graduate from Trade/Business School? Yes No Years Attended Trade/Business School Subjects Studied in Trade/Business School General Information Subject of special study/research Special training and skills U.S. Military Service Yes No Former Employers List your last four (4) employers starting with the most recent. If you have not had four (4) employers put N/A in the remaining boxes. Employer #1 Name and Address* Employment Start & End Dates* Salary and Position* Reason for Leaving* Employer #2 Name and Address Employment Start & End Dates Salary and Position References Give the names of three (3) people, not related, whom you have known at least one (1) year. Reference # 1 - Name Business / Address* Years Known* Reference #2 - Name Business / Address Years Known Authorization I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all in¬formation concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment." In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Signature* Contact Us Today CALL TODAY AT 315-597-9941 OR EMAIL US AT GR@WOODSTONEEARTH.COM. 485 STATE ROUTE 21 PALMYRA, NEW YORK 14522 PHONE: 315-597-9941 DESIGN BY DEVELOPMENT BY