Email Address

Name

Address

Phone Number

Birth date

Education some High School High School Graduate some College College Graduate

Employment History – Please list your last three jobs with a contact name and number for each.

Are you looking for full time or part time? Full Time   Part Time

Are there any days that you can not work?

Do you have a driver’s license? Yes   No

Why do you want to work for Tree Medics?

What experience do you have that qualifies you for this position?

Describe a specific situation where you have provided excellent customer service in your most recent position. Why was it effective?

Have you ever been in a difficult situation at work, and how did you handle it?

What would your current or former employer say is your best quality?

What would your current or former employer say is your weakest quality?