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Application For Employment
Padlock Ranch Company
HC 64, Box 65
Ranchester, WY 82839-9703
307.655.2264
Fax: 307.655.2257
an equal opportunity employer |
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Personal Information |
Mailing Information |
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Last Name: |
Mailing Address: |
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First Name: |
City: |
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Middle Initial: |
State: |
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Social Security No.: |
Zip: |
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Telephone: (Home) |
Permanent mailing Address for W2: (City,
State, Zip) |
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No. in family |
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Other Information |
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U.S. Citizen: (circle one) Yes
No |
Alien Work Reg. No.: |
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Sex: (circle one) Male
Female |
Date of Birth: |
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Convicted of felony: (circle one)
Yes No
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If yes, what charges? |
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U.S. Military Service: (circle one)
Yes No |
From:
To: |
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Rank at Discharge:
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Type: |
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Education Information |
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Education: Circle last Year Completed: |
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High School: 1 2 3 4
College: 1 2 3 4
Trade/Business: 1 2 3 4 |
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Employment Information |
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Position Desired: (circle one) Farm
Cattle Other |
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Salary Desired: |
When available for work: |
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EXPERIENCE OR QUALIFIED IN ANY OF THE
FOLLOWING |
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Windrower: |
Calving: |
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Balers: |
Doctoring: |
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Tractors: |
A-I: |
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Forage Harvester: |
Fencing: |
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Irrigating: |
Feedlot: |
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Mechanic: |
Electricity: |
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Heavy Equipment: |
Explain: |
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Other: |
Explain: |
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Work History |
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Type
Business |
Starting
Salary |
Salary at
Leaving |
Supervisor |
1. Present or most recent employer
Name:
Address:
From:
To:
Phone: |
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2. Present or most recent employer
Name:
Address:
From:
To:
Phone: |
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3. Present or most recent employer
Name:
Address:
From:
To:
Phone: |
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Main duties at present employer: |
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Main duties at previous employer: |
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Reason(s) for leaving employer: |
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No. 1 |
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No. 2 |
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No. 3 |
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Signature: |
Date: |
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Position Desired: |
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APPLICANT SHOULD NOT
WRITE BELOW THIS LINE |
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Applicant: Hired
Not Hired
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Comments: |
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Starting Salary: |
Benefits: |
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Duties: |
Location: |
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Foreman: |
Interviewed By: |
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Date Hired: |
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