Blue Moose, Inc.

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Please fill in the following:

* Denotes Required Field

First Name *

Last Name *

Main Phone Number *

Alternate Phone Number 1

Alternate Phone Number 2

Email Address *

Preferred Method of Contact *

Best Time to Call *

Mornings
Afternoons
Evenings

Street address *

City *

State *

Zip *

Position for which you are applying *

Describe your full time work *

Are you currently employed? *

Yes
No

What restrictions do you have on working hours from November through April? *

Do you have snow services experience? Please explain.

Do you have a valid driver's license with four or fewer points?

Yes
No

What are your salary requirements? *

What is your experience with the service industry? *

What interests you about this position? *

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