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Employment

Please complete our employment application online! You may check on your application in person at your choice location!

Employment Application

Application for new employees

Step 1 of 24

4%

Application Information
Name*
First Middle Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*
Email
Date Available*
Desired Salary (per hour)

Location Applying For*
Select one or more locations. Hold the SHIFT key to select more than one location.
Position Applying For
Is this your first time applying?*
- Yes
- No

Are You a US Citizen?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
Please explain your felony conviction.
How did you hear about Red Leaf?

Education
High School
High School Address
From
To

Did you graduate?
- Yes
- No
What level of degree did you obtain?
College
College Address
From

To
Did you graduate?
- Yes
- No
What level of degree did you obtain?
Other
Other Address

From
To
Did you graduate?
- Yes
- No
What level of degree did you obtain?

References
Please list three professional references.
Reference 1*
Full Name
Relationship
Company
Phone*

Address
Reference 2*
Full Name
Relationship
Company
Phone*

Address
Reference 3*
Full Name
Relationship
Company
Phone*

Address
Availability
Availability may need to be as early as 5:30AM and as late as 9:00PM. Please note if your availability will be changing within 6 months.
Monday
Tuesday
Wednesday

Thursday
Friday
Saturday
Sunday
Desired Hours / Week
Variances

Previous Employment
Start with your most recent employer.
Company 1*
Address
Phone*
Superviser

Job Title
Starting Salary $
Ending Salary $
Responsibilities

From
To
Reason for Leaving
May we contact your previous superviser for a reference?
- Yes
- No
Company 2

Address
Phone
Superviser
Job Title
Starting Salary $
Ending Salary $

Responsibilities
From
To
Reason for Leaving

May we contact your previous superviser for a reference?
- Yes
- No
Company 3
Address
Phone
Superviser

Job Title
Starting Salary $
Ending Salary $
Responsibilities

From
To
Reason for Leaving
May we contact your previous superviser for a reference?
- Yes
- No

Military Service
Branch
From
To
Rank at Discharge
Type of Discharge

Additional Information
Spot to brag about yourself

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature*
Date*
Untitled
- First Choice
- Second Choice
- Third Choice
Phone
This field is for validation purposes and should be left unchanged.

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Kelso Location:

209 W Main Street, Suite 102
Kelso, WA 98626
360-232-8879
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Woodland Location:

740 Goerig St.
Woodland, WA 98674
360-225-6271
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Longview Location

3202 Ocean Beach Hwy
Longview, WA 98632
360-703-6456
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Longview Drive Thru

1066 15th Ave
Longview, WA 98632
(360) 353-3931
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