Employment

Date

We are an equal opportunity employer dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process.

PERSONAL INFORMATION

Name

First

Last

Date of Birth

Referred by

Phone

Email

Present Address

Address Line 1

Address Line 2

City

State

Zip Code

EMPLOYMENT DESIRED

Date you can start

Are you 18 years of age or older?

Yes
No

Do you have a valid drivers license?

Yes
No

Are you employed now?

Yes
No

If so, may we inquire of your present employer?

Yes
No

Do you have any physical concerns that might prevent you from doing the job? If so, explain

Yes
No

Departments of Interest

Lawn and grounds maintenance
Patio / driveway construction
Team supervisor
Office / Administration

Other

EDUCATION

Grammar School

Address Line 1

City

State

High School

Address Line 1

City

State

Check last year completed

1
2
3
4

Did you graduate?

Yes
No

College

Address Line 1

City

State

Check last year completed

1
2
3
4

Did you graduate?

Yes
No

Subject studied and degree(s) received

Trade, business or correspondence school

Address Line 1

City

State

Check last year completed

1
2
3
4

Did you graduate?

Yes
No

Subject studied and degree(s) received

GENERAL

Job related skills

List any job related skills here.

FORMER EMPLOYERS

List below your last four employers, starting with the last one first.

Former Employer #1 (most recent)

Address Line 1

City

State

Employed from (month/year)

First

Last

Position

Salary (upon leaving)

Reason for leaving

Former Employer #2

Address Line 1

City

State

Employed from (month/year)

First

Last

Position

Salary (upon leaving)

Reason for leaving

Former Employer #3

Address Line 1

City

State

Employed from (month/year)

First

Last

Position

Salary (upon leaving)

Reason for leaving

Former Employer #4

Address Line 1

City

State

Employed from (month/year)

First

Last

Position

Salary (upon leaving)

Reason for leaving

REFERENCES

List below the three persons not related to you, whom you have known at least one year.

#1

Name

First

Last

Address

Address Line 1

City

State

Position / Years Acquainted

First

Last

#2

Name

First

Last

Address

Address Line 1

City

State

Position / Years Acquainted

First

Last

#3

Name

First

Last

Address

Address Line 1

City

State

Position / Years Acquainted

First

Last

Note to applicant

If you are to be hired by the company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements. Authorization I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company. I understand that any employment is conditioned on a background check. I authorize the Company to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure. I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contact. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Company unless made in writing. I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time

Cover Letter & Resume (optional)

Click or drag files to this area to upload. You can upload up to 2 files.

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

GENERAL

FORMER EMPLOYERS

REFERENCES

#1

#2

#3

Note to applicant

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