Employment Application - Rollins Ranches, LLC
Please complete all questions. Include any supplemental information which you feel would be helpful in the consideration of your qualifications. Do not supply any information which may be contrary to the laws of your city or state. Rollins Ranches, LLC offers equal employment opportunities to all persons without regard to race, color, religion, age, sex, national origin, disability, or any other legally protected status.
NOTE: Fields with * are required and cannot be left blank.
Last Name * First Name * Middle Name
City State Zip
City State Zip
Home Telephone Cell Phone Work Phone
Position Applying For Date Available
Willing to Travel? What percent of time?
How did you learn of this position?
Internet Corporate Web-siteAd Relative Employee
Date and location of any prior application to Rollins Ranches, LLC
If referred by employee, please give name and location
Name and relationship of relatives employed by Rollins Ranches, LLC
Select highest year completed:
Name/Location of High School
CASE OF EMERGENCY
Give name and address of person to notify in case of emergency.
Indicate Experience and Skills in any of the following (as applicable to the position you are applying for).
Software Proficiency: MS Word
Special Study Courses (Correspondence, seminars, military services schools, etc.)
Use space below to provide additional information you wish considered regarding knowledge, skills, abilities, special aptitudes, organizations, volunteer and military experience, occupational or professional licenses, registrations, permits, patents, and/or other items that relate to the position you seek.
List employment for the last ten years starting with your present or most recent position.
Account for all periods of unemployment. Attach additional sheets if necessary.
MAY WE CONTACT YOUR PRESENT EMPLOYER FOR REFERENCE?
LIST INIVIDUALS WHO CAN ATTEST TO YOUR PROFESSIONAL ABILITIES/WORK ACCOMPLISHMENTS, AND CHARACTER.
DO NOT LIST RELATIVES OR SUPERVISORS LISTED ABOVE.
What is your minimum salary requirement at this time?
Which of the positions you have held did you find most satisfying and why?
What do you think has contributed to the successes you have had?
What is your interpretation of success?
Note other information or outside experience you wish considered:
If yes to any of the above, explain:
DRIVING INFORMATION (IF APPLICABLE)
PLEASE COMPLETE THE FOLLOWING IF THE POSITION REQUIRES DRIVING:
READ CAREFULLY AND SIGN
In order to protect our customers, employees and company, Rollins Ranch, LLC must be diligent in the
selection of new company employees. Our applicant screening process reflects this diligence. I
understand that prior to being offered employment with Rollins Ranch, LLC, I may be asked to submit
to some or all of the following screening steps, depending on the position for which I have applied:
motor vehicle record check, former employer check, felony record check, personal reference check,
and/or other pre-employment screening testing as appropriate. In the event I have a medical condition
which will affect my ability to take a test, I will so inform Rollins Ranch, LLC prior to the
administration of the test so that a reasonable accommodation can be made. Rollins Ranch, LLC
reserves the right to require documentation concerning the need for accommodation. I further
understand that if an offer of employment is made to me, it is conditioned upon my successful
completion of a drug test. Should I receive an offer of employment, I do hereby give my consent to
Rollins Ranch, LLC, its doctors, employees or agents, together with any clinic, hospital or laboratory
designated by Rollins Ranch, LLC, to perform appropriate test or examinations on me for drugs.
We are required by law to advise you that a routine inquiry may be made which will provide applicable
information concerning character, general reputation, and personal characteristics. Upon written
request, additional information as to the nature and scope of the report, if one is made, will be provided.
I certify that the information given by me in this application is true in all respects and I agree that if the
information given is found to be false in any way, it shall be considered sufficient cause for denial of
employment or for discharge from employment. I hereby authorize my former employer, person, firm,
school or corporation listed herein, including this company, to answer any and all questions and agree to
hold all persons harmless and release them from all liability or damages for giving any such information
within their knowledge or records.
I understand that nothing contained in this employment application or in the granting of an interview is
intended to create an employment contract between Rollins Ranch, LLC or myself for either
employment or for the providing of any benefit. No promises regarding employment have been made to
me, and I understand that no such promise is binding upon Rollins Ranch, LLC unless made in writing.
If an employment relationship is established, I understand that I have the right to terminate my
employment at any time and that Rollins Ranch, LLC retains the same right. Employment is at-will.
I understand that if I am employed, policies and procedures which are issued are not conditions of
employment and that Rollins Ranch, LLC may revise the policies or procedures in whole or part at any
I understand that this application will be kept on active file for thirty (30) days from the date completed,
after which time I would have to reapply if I wish to be considered for any position after that date.