Anderson Irrigation & Outdoor Lighting

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Application Form

Date of Application

Applicant Name

Address

City, State and Zip Code

Telephone Number:

Email Address:

Position(s) Applying For:

Secretary

Technician

How did you hear about this position?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

What is your desired hourly wage?

Have you ever applied to or worked for Anderson Irrigation and Outdoor Lighting before?

If yes, when?

Do you have any condition which would require job accommodations?

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense? (Felony or Misdemeanor?)

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Please list below the skills and qualifications you possess for the position for which you are applying:

High School

College/University

Vocational School/Specialized Training

Previous Employment (Employer Name, Employer Address, Employer Telephone Number, Job Title, Manager/Supervisor Name, Dates Employed, Reason for leaving)

Reference

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