Employment Application

Please Complete Entire Form


    Personal Information

    Date

    Full Name

    Address

    Email

    Date of Birth
    (if under 18)

    Social Security No.

    Telephone

    Alt Phone

    Position applied for

    Salary desired

    Days/Hours available to work:
    No pref
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Saturday
    Sunday

    Employment desired
    FULL-TIME ONLYPART-TIME ONLYFULL -OR- PART-TIME

    When available to start work?

    Do you smoke?
    YesNo

    Are you a citizen of the United States?
    YesNo

    If no, Are you authorized to work in the U.S.?
    YesNo


    Education

    Did you attend High School?
    Yes

    What High School?

    Did you graduate?
    Yes

    Did you attend College / University?
    Yes

    Did you graduate?
    Yes

    Did you attend Business / Trade School?
    Yes

    Did you graduate?
    Yes

    Other (specify)


    Criminal Record

    HAVE YOU EVER BEEN CONVICTED OF A CRIME?
    NoYes

    If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.


    Driving Record

    DO YOU HAVE A VALID DRIVER'S LICENSE?
    YesNo

    ARE YOU PROFICIENT AT PULLING A TRAILER?
    YesNoSomewhat

    What is your means of transportation to work?

    Driver's license number

    Expiration Date

    State of Issue

    Types of License(s)
    OperatorCommercial (CDL)

    Have you had any accidents during the past three years?
    YesNo

    How Many?

    Have you had any moving violations during the past three years?
    YesNo

    How Many?


    Landscape Experience

    Describe landscaping experience (i.e. lawn installations, irrigation, maintenance, pruning, planting, retaining walls, etc.)

    Describe equipment you are familiar with:


    Work Experience

    Work Experience 1:
    Name of Employer:
    Address:
    City, State, Zip:
    Phone:
    Last Supervisor Name:
    Employment Date Start:
    Employment Date End:
    Pay/Salary Start:
    Pay/Salary End:
    Last Job title:
    Reason for leaving (be specific):

    List the history of the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

    Work Experience 2:
    Name of Employer:
    Address:
    City, State, Zip:
    Phone:
    Last Supervisor Name:
    Employment Date Start:
    Employment Date End:
    Pay/Salary Start:
    Pay/Salary End:
    Last Job title:
    Reason for leaving (be specific):

    List the history of the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

    Work Experience 3:
    Name of Employer:
    Address:
    City, State, Zip:
    Phone:
    Last Supervisor Name:
    Employment Date Start:
    Employment Date End:
    Pay/Salary Start:
    Pay/Salary End:
    Last Job title:
    Reason for leaving (be specific):

    List the history of the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.


    References

    Reference 1:
    Full Name
    Company
    Position
    Relationship
    Phone

    Reference 2:
    Full Name
    Company
    Position
    Relationship
    Phone

    Reference 3:
    Full Name
    Company
    Position
    Relationship
    Phone


    Quick & Easy Quote

    Testimonials

    I love the landscaping! Thanks so much.

    Shelly Conrad, Clearfield, PA

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