Please enable JavaScript in your browser to complete this form. - Step 1 of 6Position(s) applying for *Type of Employment Desired *Full TimePart TimeTemporarySeasonalEducational Co-OpReferral Source *Printed AdvertisementWalk-InDHR EmployeeGoogle AdPrivate Employment AgencyIndeedGovernment Employment AgencyOtherName of Referral Source (if applicable) *Contact InformationName *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Phone *Secondary PhoneWhat is the best time to call?Email *NextNuts and BoltsHave you submitted an application to DHR before? *YesNoIf you answered yes to the above question, please list dates and positions of employment with DHR Have you ever been employed by DHR? *YesNoIf you answered yes to the above question, please list dates and positions of employment with DHRAre you legally eligible for employment in the USA? *YesNoDate available for work *What is your desired salary range? *Are you able to meet the attendance requirements of the position? *YesNoWill you work overtime if required? *YesNoIf you answered no to the above question, please explainHave you ever been convicted of any crime, including sex-related or child-abuse related offenses? *YesNoAnswering "Yes" to the above question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness of the violation, rehabilitation and position applied for will be taken into account.If you answered yes to the above question, please provide date(s) and detailsDriver's License Number and State (if driving is an essential job function of the position(s) for which you are applying)Example: 12345678, TexasNextEmployment HistoryProvide the following information of your past and current employers, assignments or volunteer activities, starting with the most recent. Explain any gaps in employment in the comments section below. If additional entries are needed, please upload a document listing additional information.Employer Name #1 *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeJob Title *Summarize the type of work performed and job responsibilities *Starting Date of Employment *Please list your start date and end date (if applicable). Example: Jan 1, 2017 - March 1, 2018Ending Date of Employment *Hourly Pay Rate/Salary *Please list your starting and ending pay rateImmediate Supervisor Name and Title *May we contact this supervisor for reference? *YesNoReason for Leaving? *Employer Name #2PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeJob TitleSummarize the type of work performed and job responsibilitiesStarting Date of EmploymentEnding Date of EmploymentHourly Pay Rate/SalaryPlease list your starting and ending pay rateImmediate Supervisor Name and TitleMay we contact this supervisor for reference?YesNoEmployer Name #3PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeJob TitleSummarize the type of work performed and job responsibilitiesStarting Date of Employment Ending Date of EmploymentHourly Pay Rate/SalaryPlease list your starting and ending pay rateImmediate Supervisor Name and TitleMay we contact this supervisor for reference?YesNoPlease attach a document showing any additional Employment History Click or drag a file to this area to upload. CommentsPlease include explanation of gaps in employment in the box above.NextSkills and QualificationsSummarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position(s) for which you are applying. Skills include any foreign languages you may speak fluently. *Educational BackgroundPlease list the last three schools you attended, the number of years completed, degree or diploma earned (if any), GPA and/or Class Rank, Major field of study and Minor field of study.Please start with the most recently attended school. *Example: 2014-2018, The University of Elgin - Elgin, TX. BS degree earned in Psychology with a minor in Sociology. GPA: 3.5Professional MembershipsList professional, trade, business or civic associations and any offices heldPlease note organization name, number of years participated and any offices held.Exclude memberships that would reveal race, color, religion, gender, national origin, citizenship, age, mental or physical disabilities, veteran/reserve, National Guard or any other protected status.Special Accomplishments, Publications and AwardsList professional, trade, business or civic associations and any offices heldPlease note source, date and topicExclude memberships that would reveal race, color, religion, gender, national origin, citizenship, age, mental or physical disabilities, veteran/reserve, National Guard or any other protected status.NextReferencesList the name and phone number of three business references who are NOT related to you. If not applicable, list three school or personal references.Reference #1 *Phone *Number of Years Known *Reference #2 *Phone *Number of Years Known *Reference #3 *Phone *Number of Years Known *NextApplicant StatementI certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application or (ii) immediately discharge me from the employer’s service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any application from consideration for employment on a basis prohibited by applicable local, state, or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specific period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurance to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president. I understand that if I accept housing on the premises of Down Home Ranch, whether as part of my compensation or not, such housing is absolutely and irrevocably contingent upon my continued employment with Down Home Ranch. Upon termination of employment, whether voluntary or involuntary, I will be given a maximum of 72hours to remove myself and my belongings from said housing. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United State and that federal immigration laws require me to complete an I-9 Form in this regard. If I am offered employment I agree to submit to a medical examination and drug test before starting work if requested to do so. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to the Company the result of the examination, which shall remain confidential and segregated from my personnel file. I understand that my employment or continue employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug tests, and if I am hired a condition of my employment will be that I abide by the Company’s Drug and Alcohol Policy. I understand that filling out this form does not indicate that there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.Signature *Clear SignaturePlease sign your full name in the box above to certify that you have read, fully understand and accept all of the terms of the foregoing "Applicant Statement" listed above.Today's Date *Please list any additional information you would like for us to consider.Would you like to be considered for future opportunities at Down Home Ranch? By checking yes, you are consenting to DHR keeping your application on file for one year. After one year, your application will be destroyed. *YesNoWebsiteSubmit