Operator Job Description and Application

Applicant Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Date Available:

Date

Time

Social Security Number *

This information is kept strictly confidential

Position Applied for: *

Desired Salary: *

Are you a citizen of the United States? *

Yes
No

If no, are you authorized to work in the United States?

Yes
No

Have you ever worked for Mammoth, Inc.? *

Yes
No

If yes, when?

Do you give authoriztion for a background check & drug testing? *

Yes
No

Education

High School Name: *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date From: *

Date To: *

Did you graduate? *

Yes
NO

Education (continued)

College:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Highest Degree Obtained:

Did you graduate?

Yes
No

Certifications:

Please list any additional certifications or skills you have:

Refrences:

#1 Name:

Phone

Email

Relationship:

#2 Name:

Phone

Email

Relationship:

Previous Employment:

Company #1

Job Title:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor:

Phone

May we contact your previous supervisor for a reference?

Yes
No

Reason for leaving:

Date From:

Date To:

Company #2

Job Title:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Supervisor:

Phone

May we contact your previous supervisor for a reference?

Yes
No

Reason for leaving:

Date From:

Date To:

Military Service:

Branch:

Date From:

Date To:

Rank at Discharge:

Type of Discharge:

Disclaimer and Signature:

I authorize the verification of the information listed above. I certify that the information contained in this employment application is accurate. I understand that false information may be grounds for not offering employment or for termination of employment at any point in the future. *

Signature

Date: *