Employment Application
If you would like to be considered for a position with our company, please fill out the form below as completely as possible.
First Name:
Middle Initial:
Last Name:
Email:
Phone:
Secondary Phone:
Present Street Address:
City:
State:
Zip:
Are you a U.S. citizen?
Yes
No
Are you over 18?
Yes
No
Availability?
Full Time
Part Time
Salary Desired:
Date Available:
Do you have previous landscaping experience?
Yes
No
Days Available to Work:
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
From:
Not Available
5AM
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9PM
10PM
Not Available
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6AM
7AM
8AM
9AM
10AM
11AM
12PM
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4PM
5PM
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8PM
9PM
10PM
Not Available
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9AM
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8PM
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Not Available
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9AM
10AM
11AM
12PM
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2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
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5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
Not Available
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
To:
Employment History
May we contact this employer?
Yes
No
1) Name and address of your most recent employer:
Supervisor:
Phone Number:
Start Date:
End Date:
Description of the work performed:
Reason for leaving:
May we contact this employer?
Yes
No
2) Name and address of your previous employer:
Supervisor:
Phone Number:
Start Date:
End Date:
Description of the work performed:
Reason for leaving:
May we contact this employer?
Yes
No
3) Name and address of another prior employer:
Supervisor:
Phone Number:
Start Date:
End Date:
Description of the work performed:
Reason for leaving:
Education
Do you have a high school diploma?
Yes
No
Year Graduated:
Name and Address of High School:
College degree or Vocational School Certification:
Major course of study:
Year Graduated:
Name and Address of College/Vocational School:
Personal References
1)Name:
Phone:
Years Known:
2)Name:
Phone:
Years Known:
3)Name:
Phone:
Years Known:
Have you ever pleaded guilty or no contest to a felony?
Yes
No
If yes, please explain:
Are you capable of standing for extensive periods of time and heavy lifting? Can you perform all physical aspects involved with the position you are applying for?
Yes
No
If no, please explain:
Have you had previous experience working with the public?
Yes
No
If yes, please explain:
Typing your name in this box is equivalent to your signature:
Date:
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Name:
Phone:
Email:
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