Applying For Lawn Fertilization Technician (Year Round Employment) Landscape & Irrigation Crew Leader (Year Round Employment) Landscape & Irrigation Crew Member (Year Round Employment) Retail Garden center Personnel (Full and Part-time Position) Office Staff (Full-time Position)
Last *
First
Middle
Street Address *
City *
Zip Code *
State
E-Mail *
Phone Number *
Date of Application
Possible Start Date
Are you available to work (Multiple Answers) Full-Time Part-Time Weekends Temporary
Times available for work (Multiple Answers) Sun am Sun pm Sun any Mon am Mon pm Mon any Tue am Tue pm Tue any Wed am Wed pm Wed any Thu am Thu pm Thu any Fri am Fri pm Fri any Sat am Sat pm Sat any
How where you referred to us?
Have you filed an application here before? Yes No
Have you ever been employed here before? Yes No
Are you employed now? Yes No
Does your present employer know of your plans to change employment? Yes No
Why do you desire to make a change?
Are you on a layoff and subject to recall? Yes No
Have you ever been discharged or requested to resign from a position? Yes No
If yes explain?
How much time have you lost from work during the last 12 months?
Do you have steady transportation to work? Yes No
Can you travel if a job requires it? Yes No
Have you ever held a position of trust (handling money)? Yes No
Have you ever been refused Bond? Yes No
If Yes, Please explain
Are you legally eligible to work in the United States? Yes No
Have you ever been convicted of or received a sentence for a crime(s) other than a minor traffic violation? Yes No
If so, state date, court and place where offense(s) occurred
Do you hold a valid drivers license? Yes No
List State
Have you been convicted of any moving violation(s) in the last 3 years? Yes No
If Yes, give date(s) and explanation
List three things that are important to you in a work environment (1,2,3)
List three things that best describe you (1,2,3)
Why do you want to work here?
Employer
Job Title
Hourly Rate Starting
Hourly Rate Ending
Employer Address (Street City and State)
Employer Phone
Dates Employed From
Dates Employed To
Summary of Work Performed and Job Responsibilities
State Reason Resigned Terminated Other
If other, please explain
Other Employer
Job Title
Hourly Rate Starting
Hourly Rate Ending
Other Employer Address (Street City and State)
Other Employer Phone
Dates Employed From
Dates Employed To
Summary of Work Performed and Job Responsibilities
State Reason Resigned Terminated Other
If other, please explain
Summarize special skills and qualifications acquired from employment or other experience
List professional, trade, business or civic activities and offices held
Computer skills (list programs and proficiency level
What foreign languages do you speak, read and/or write?
Years
Degree Rec & Major
Location
Graduate? Yes No
Years
Degree Rec & Major
Location
College? Yes No
Years
Degree Rec & Major
Location
Graduate? Yes No
Branch of Service and Serial Number
Present Selective Service Classification
Rank at Discharge
List Duties/Special Training
The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit, and motor vehicle records through any investigative or credit agencies or bureaus of your choice. You are also authorized to administer personality profile tests and verify my background. A criminal record or sentence is not a automatic disqualification for employment. I agree to submit to any drug or alcohol testing prior to or after employment and I agree to submit to a medical evaluation, if required.
In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics, and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigative consumer report. In exchange for the consideration of my employment application by this company, I hereby release and forever discharge the company (including its directors, officers, employees, and agents) and my past and/or present employers (their directors, officers, employees, and agents) from any liabilities which may result from an investigation of my past and/or present employment or from the disclosure of such information. I authorize the use of any information in this application to verify my statements, and I authorize the past employers, doctors, all references and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record.
I understand that if my application is accepted that employment with this company at all times is employment “at will”. It is further understood that this “at will” relationship may not be changed by any written document, verbal statements, or by conduct unless such change is specifically acknowledged by an authorized executive of the company. I further understand that my “at will” employment may be terminated at any time by myself or the company and includes no guarantee, contract or promise of employment for any specific length of time. I understand that the first ninety(90) days of employment is a new hire introductory period.
Please check here showing you have read and understand *