Lazy A Ranch

1059 Kurt Road Bellville, TX 77418

Careers

APPLICATION FOR EMPLOYMENT

Full Name

Social Security Number

Present Address

City

State

Country

Postal Code

Are you 18 years or older?

Yes

No

Phone

Cell Phone

Desired Employment

Position

Date You Can Start

Salary Desired

Are you employed now?

Yes

No

If so, may we inquire of your present employer?

Yes

No

Education

School Level

Grammar School

High School

College

Trade, Business or Correspondence School

General

Subjects of Special Study or Research

Special Training

Special Skills, Hobbies, Interests

Former Employers

List below the last three employers, starting with the most recent: No friends

Name of Present or Last Employer

Address

Starting Date

Leaving Date

Job Title

Starting Salary or Hourly

Final Salary or Hourly Salary

May we contact your supervisor?

Yes

No

Name of Supervisor

Title

Phone

Description of Work

Reason for Leaving

Name of Present or Last Employer

Address

Starting Date

Leaving Date

Job Title

Starting Salary or Hourly

Final Salary or Hourly Salary

May we contact your supervisor?

Yes

No

Name of Supervisor

Title

Phone

Description of Work

Reason for Leaving

References

Below, give the names of three principals or supervisors you have worked for.
Please No personal references

Service Record

Branch of Service:

Discharge Date

Rank

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information they may have, personal or otherwise, and release Lazy A Ranch ("company") from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

Date:

Please write a brief note explaining why you would be an asset to our ranch, and why this would be a good move for you professionally.