Application For Employment
BLH Enterprises Inc.

Employment Contact Info: Brian Hirschi (435) 757-4399

Today's Date:____________________

Personal Info
Name: _________________________________________
Address: _______________________________________
City: ________________________ State:_______________ Zip:__________________
Phone Number:__________________________

Employment
Which of our business locations could you work at:____________________________________
Total number of hours or days per week desired:______________________________________
Would you be able to work any days of the week necessary, including Sunday: _______________
Will you be willing to work every Saturday and Holiday during the season:___________________
Would you be able to work through the entire work season:______________________________
Is there any specific time off that you would need:______________________________________
Where would you live during the work season:________________________________________
Do you have a valid driver's license and reliable transportation?___________________________
Do you agree to take drug tests before and during employment:___________________________
Date available to start working:___________________________________________________

Education
Last/Current Education: ___________________________________________________

Previous Employers
Name: _________________________________________
Address: _______________________________________
City: ________________________ State:_______________ Zip:__________________
Phone Number:__________________________
Supervisor:_____________________________
Position Held & Salary:____________________________________________________

Name: _________________________________________
Address: _______________________________________
City: ________________________ State:_______________ Zip:__________________
Phone Number:__________________________
Supervisor:_____________________________
Position Held & Salary:____________________________________________________

May we contact previous employers? Yes_____ No_____

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