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Job Opportunities

An exciting career is waiting
for you at Beller & Backes.

Do you want to be a part of a Winning Team?
Are you a Professional person who takes pride in their work?
Do you want to get more out of your job than just a paycheck?
Do you have a Winning Attitude?
Do you believe in Satisfying the Customer?

401K
Health Insurance
Life Insurance
Paid Vacations
Paid Holidays
Paid Training (as required)

We are currently looking for experienced Service Technicians.

Fax resume to (402) 923-1689 or fill out the form below
and submit your application for review.


Name
Present Address
Address (cont.)
City
State/Province
Zip Code
How Long at that Address?
Own or Rent
Home Phone

Previous Address
Address (cont.)
City
State/Province
Zip Code
How Long at that Address?
Own or Rent

Position Desired
Age	(if under 18 or over 64)
Type of Transportation
Make
Model

List any physical conditions which may limit your ability to perform the job you are applying for

Expected Starting Salary
Would you be willing to work part-time?
What date can you start work?
Do you have a farm background?
Have you worked with farm equipment?
Do you have a chauffeur's license?
State, Number, Date Expires


PREVIOUS EMPLOYMENT 1
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No

PREVIOUS EMPLOYMENT 2
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No

PREVIOUS EMPLOYMENT 3
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No

PREVIOUS EMPLOYMENT 4
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No


PERSONAL REFERENCES 1
Name
Address
Phone
Description of Relationship

PERSONAL REFERENCES 2
Name
Address
Phone
Description of Relationship

PERSONAL REFERENCES 3
Name
Address
Phone
Description of Relationship


EDUCATION Indicate Year Completed

Elementary	5 6 7 8
School Name
School Address

High School	9 10 11 12
School Name
School Address

Other - Specify
School Name
School Address

What qualifications do you feel make you best suited for this job?
Any Additional Skills?


I understand that if I am employed, any false statements made on this application may result in dismissal. Yes, I accept this condition No, I do not accept this condition

Response to the following questions is voluntary and our decision to consider you for employment will not be based on your refusal to answer any of them.


Marital Status
Birthplace
Number and Age of Dependants
Spouse's Employer
Date of Marriage
Are you a US citizen?	Yes No


In event of an accident, please notify:
Name
Phone

Maintained by Tom Rowe & Associates