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Countryside Service Inc
Phone:
(970) 434-2564
Mailing Address
Phone:
(970) 434-2564
NOW HIRING!
Application For Employment
It is the policy of Country Side Service Inc to provide Equal Employment Opportunities to all qualified persons. If applicable, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law.
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Israel
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Libya
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Have you had any violations in the last 3 years?
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I am an U.S Citizen or otherwise authorized to work in the United States on an unrestricted basis
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If applicable, please list your visa expiration:
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Have you ever been convicted of a crime in the past seven years (you are not obligated to disclose sealed or expunged criminal records)?
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Address
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State / Province
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Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Chad
Chile
China
Colombia
Congo
Cook Islands
Costa Rica
Cote D Ivoire
Croatia
Cruise Ship
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
French West Indies
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guernsey
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyz Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Pierre & Miquelon
Samoa
San Marino
Satellite
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
South Africa
South Korea
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
St Vincent
St. Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor L'Este
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Venezuela
Vietnam
Virgin Islands (US)
Yemen
Zambia
Zimbabwe
Country
Your Position:
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Salary:
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Duties:
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Start Date
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End Date
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Supervisor:
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First
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Title
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May we contact?
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Reason for leaving:
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Position Information
Position Applying For:
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How did you hear about this job?
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What hours are you willing to work?
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Would you be able to work weekends?
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Are you willing to travel for the job?
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When would you be able to start?
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Desired Salary:
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References:
Give three references that are not former employers who we may contact:
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Relationship/ How long?
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Reference 2:
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Reference 2 Phone:
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Relationship/ How long?
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Reference 3:
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Reference 3 Phone:
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Relationship/ How long?
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By Submitting this application Countryside Service Inc has the authority to verify all of the information provided.
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