Name:
Address
Phone
Email Address:
Date of Birth
Social Security No.
Position Applied for
Employment Desired Full Time Only
Part Time Only
Full or Part Time
Availability Monday 7am - 5 pm
Tuesday 7am - 5 pm
Wednesday 7am - 5 pm
Thursday 7am - 5 pm
Friday 7am - 5 pm
When are you available to work
Do you speak English?
Do you smoke?
Are you a citizen of the United States?
If you answered No to the above question are you authorized to work in the US?
Did you graduate High School?
Any College and for what if it applys to this position.
Have you ever been committed of a crime?
If yes to the above question please explain:
Do you have a valid drivers license?
Are you proficient at pulling a trailer?
What is your means of transport to work?
Drivers License Number, State of Issue, Expiration Date
Have you had any accidents during the past 3 years?
Explain accident(s):
Have you had any moving violations during the past three years
Explain violation(s):
Describe landscaping experience (i.e. lawn installations, irrigation, maintenance, pruning, planting, retaining walls, etc.)
Describe equipment you are familiar with:
Work Experience. Name of Supervisor and contact info. Reason for leaving.
Work Experience. Name of Supervisor and contact info. Reason for leaving. Continued
References:
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

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