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Smith-Roberts Land Services, Inc. Employment Application

The data entered in this form is maintained in a secure environment and will be used solely for consideration of employment. In the event you do not feel comfortable submitting certain elements of data on this form, you are welcome to withhold a response on those elements. However, to assist SRLS with reviewing your application in a timely manner, be sure to populate all relevant fields prior to clicking submit at the bottom of the form.

Personal Information
First Name*
Last Name*
Email Address*
Phone Number*
Position(s) Applying For:
Geographic Preference*
- Arizona
- Colorado
- Idaho
- Kansas
- Missouri
- Nebraska
- Nevada
- New Mexico
- Oklahoma
- Texas
- Utah
- Wyoming
- Midwest
- Mountain West
Address*
Street Address Address Line 2 City State ZIP Code
Languages
- Spanish
- German
- Mandarin Chinese
- French
- Japanese
- Russian
- Other
Are you at least 18 years of age?*
Are you authorized to work in the U.S.?*
Military Status*
Are you willing to travel?*
Have you previously applied for employment with, or anyone associated with, our company?*
Date of Application*
Date Format: MM slash DD slash YYYY
Have you ever been employed by our company or anyone associated with our company?*
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Do you have relatives employed by our company or anyone associated with our company?*
Name*
First Last
Relation*
Are you subject to a non-compete agreement or other agreement which would preclude or restrict your employment with our company?*
Please describe without violating the agreement*
Education
High School Name
High School Location
City State / Province / Region ZIP / Postal Code Country
Diploma Received?*
High School Graduation Date*
Date Format: MM slash DD slash YYYY
College/University Name
College/University Location
City State / Province / Region ZIP / Postal Code Country
Undergraduate Degree Program
Undergraduate Degree Earned?*
Undergraduate Completion Date*
Date Format: MM slash DD slash YYYY
Post-Graduate School Name
Post-Graduate School Location
City State / Province / Region ZIP / Postal Code Country
Post-Graduate Degree Program
Post-Graduate Degree Earned?*
Post-Graduate Completion Date*
Date Format: MM slash DD slash YYYY
Trade/Tech/Bus School Name
Trade/Tech/Bus School Location
City State / Province / Region ZIP / Postal Code Country
Trade/Tech/Bus School Program
Certificate Received?*
Trade/Tech/Bus Certificate Completion Date*
Date Format: MM slash DD slash YYYY
Licenses, Organizations, Memberships, and Affiliations
Real Estate License?
Issuing State(s)*
License Number*
Expiration Date*
Date Format: MM slash DD slash YYYY
IRWA Designation(s)
Membership(s), Organization(s), Affiliation(s)
Work History
Select 'yes' for all relevant work experience.
Project Management*
Number of Years*
Primary Project Type*
Seconday Project Type*
Property Management*
Number of Years*
Primary Project Type*
Seconday Project Type*
Negotiation/Acquisition*
Number of Years*
Primary Project Type*
Seconday Project Type*
Relocation Assistance*
Number of Years*
Primary Project Type*
Seconday Project Type*
Eminent Domain*
Number of Years*
Primary Project Type*
Seconday Project Type*
Title Specialist*
Number of Years*
Primary Project Type*
Seconday Project Type*
Abstracting*
Number of Years*
Primary Project Type*
Seconday Project Type*
Appraisal*
Number of Years*
Primary Project Type*
Seconday Project Type*
Permitting*
Number of Years*
Primary Project Type*
Seconday Project Type*
Right of Entry*
Number of Years*
Primary Project Type*
Seconday Project Type*
Utility Relocation*
Number of Years*
Primary Project Type*
Seconday Project Type*
Easements*
Number of Years*
Primary Project Type*
Seconday Project Type*
Mapping*
Number of Years*
Primary Project Type*
Seconday Project Type*
Surveying*
Number of Years*
Primary Project Type*
Seconday Project Type*
Database Administration*
Number of Years*
Primary Project Type*
Seconday Project Type*
Database Management*
Number of Years*
Primary Project Type*
Seconday Project Type*
Document Specialist*
Number of Years*
Primary Project Type*
Seconday Project Type*
Project Administration*
Number of Years*
Primary Project Type*
Seconday Project Type*
Other:*
Number of Years*
Primary Project Type*
Secondary Project Type*
References
Reference 1*
First Last
Relationship*
Job Title*
Company*
Phone*
Email*
Reference 2*
First Last
Relationship*
Job Title*
Company*
Phone*
Email*
Reference 3*
First Last
Relationship*
Job Title*
Company*
Phone*
Email*
Upload Resume*
Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, img, doc, docx, .
Please read the following statements carefully before signing this application.
I certify that all statements I have made on this application, resume, or other supplementary materials are true and correct. I hereby authorize the company I am seeking employment with, Smith-Roberts Land Services, Inc. (“SRLS” or “Company”), to investigate the accuracy of this information from any person or organization and I release SRLS and all persons and organizations from all claims or liabilities of any nature arising from such investigations or the supplying of information for such investigations. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal to hire or for immediate dismissal at any time during the period of my employment. I will regard and preserve as confidential, and will not divulge to unauthorized persons, or use for unauthorized purposes, either during or after term of my employment, any information, matter or thing of a then secret, confidential, or private nature connected with the business of SRLS without the written consent of the President of SRLS. I understand and agree that my employment is for no definite period and may, regardless of the date or interval of payment of wages and salary, be terminated at any time without prior notice or obligation on the part of the Company. If hired, I understand that I will be required to submit proof of U.S. citizenship, or authorization to work in the U.S., along with a valid driver’s license.
Date*
Date Format: MM slash DD slash YYYY
Signature (please type your full legal name)*
Name
This field is for validation purposes and should be left unchanged.

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405.843.7500

Address

4832 Richmond Square

Oklahoma City, OK 73118

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