Whitney Tree Service

Full service tree care in accordance with modern arboricultural standards

Adam Whitney, ISA Certified Arborist since 2001

Serving the Mad River Valley and Central Vermont

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Employment Application

Thank you for your interest in employment with Whitney Tree Service.

WHITNEY TREE SERVICE EMPLOYMENT APPLICATION AND PERSONNEL RECORD FORM

This application is the next step in our hiring process and is intended for candidates who have already spoken with us and have relevant experience. A complete application helps us make informed and fair hiring decisions.

"*" indicates required fields

You will receive a copy of this completed application by email. Additionally, there is a “save and continue” link at the bottom if you need a break before completing your application.

Name*

First Middle Last Suffix

Email Address*

Address*

Street Address City/Town State ZIP Code

Home Phone

Cell Phone

Are you at least 18 years old?

Yes

No

U.S. Citizen?

Yes

No

Do you have any allergies (food, bees, etc.)?

Yes

No

If yes, are you required to carry an epi pen?

Yes

No

If the answer is yes, you must have it on your person at all times while at work.

Do you have any other medical conditions that we should be aware of?*

Yes

No

If yes, please explain:

What hourly wage would you like to receive?

IN CASE OF EMERGENCY, CONTACT:

1. Name:

Phone:

2. Name:

Phone:

EDUCATION:

Primary Education (Elementary/High School) Vocational/Technical:

College/University:

Other/Additional:

EMPLOYMENT HISTORY:
List three most recent jobs:

1. Company name, Position held, Dates, Reason for leaving

2. Company name, Position held, Dates, Reason for leaving

3. Company name, Position held, Dates, Reason for leaving

PROFESSIONAL REFERENCES:
Please include name and phone number of supervisor from most recent place of employment:

1.

2.

3.

PRODUCTION SKILLS:

Are you familiar with ANSI Z133 Safety Standards?

Yes

No

Check any in which you have experience:

Tree Climbing

Stump Grinder

Chain Saw

Brush Chipper

Bucket Truck

Spraying

Logging

Equipment Mechanic

Other skills, please list:

Other Equipment:

Do you have any other experience doing tree work?

Yes

No

If yes, how many years?

Describe any additional training:

Do you have any current certifications? (Cert. Arborist, EHAP, First aid/CPR, etc.) If yes, please list:

Are you trained in line clearance tree trimming?

Yes

No

If yes, When? By whom?

Do you have practical experience in line clearance tree trimming?

Yes

No

If yes, Where? For how long?

DRIVING SKILLS AND RECORD:

Do you have a valid driver’s license?

Yes

No

Do you have a current medical card?

Yes

No

A medical card is required by law for driving CMV 10,001 GVW or greater.

Do you have a CDL?

Yes

No

If yes, is it Class A or B?

Check all those you have experience operating:

Automatic Transmission

Manual Multi-speed trans

Truck and Chipper

1-ton truck

2-ton truck

Two-speed rear axle

Bucket Truck

Truck with loaded trailer

Excavator

Other, please list:

Other vehicle experience:

Do you have any vehicular accidents in the past three (3) years?

Yes

No

Do you have any traffic convictions in the past three (3) years (other than parking tickets)?

Yes

No

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes

No

Has any license, permit, or privilege been suspended or revoked?

Yes

No

If you would like to upload a resume (optional), you can attach it here, or send by email.

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 49 MB.

ABILITY TO PERFORM ESSENTIAL FUNCTIONS OF THE JOB:

All production positions are physically demanding. Entry level employees in these positions are expected, within a reasonable time after they commence employment, to be able to do tree work. This work includes climbing trees and removing tree limbs using various hand and power tools on a continuous basis during an eight to ten hour shift: removing and disposing of tree limbs using various mechanized tools, which can require lifting and carrying from 50 to 100 pound loads. Most entry level employees may also be required to obtain state licenses to apply pesticides and engage in duties that require exposure to various chemicals and pesticides. Are you physically able to safely perform these job duties with or without a reasonable accommodation?

Yes

No

Applicant’s Signature

I certify that the information provided is true and complete to the best of my knowledge. I understand that employment is contingent upon qualifications, experience, and company needs.

Date

MM slash DD slash YYYY

Name

This field is for validation purposes and should be left unchanged.

Certified Treecare Safety Professional

Member, ISA

ISA-Certified Arborist NE-6326A

ISA-Certified Arborist NE-6326A

ISA-Certified Tree Worker/Climber Specialist NE-6326AT

ISA-Certified
Tree Worker/Climber
Specialist NE-6326AT

ISA Tree Risk Assessment Qualified

Tree Care Industry Association

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PO Box 705 • Waitsfield, VT 05673

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