Employment application Step 1 of 4 25% The following information is requested in order to help us make possible placement within the company. All portions of this application pertaining to you must be completed. Incomplete applications will not be considered. The company, in accordance with State and Federal laws, does not discriminate on the basis of age, race, religion, color, sex, national origin, marital status, physical or mental disability or arrest record.Position for which you are applying*Email Name* First Last Current Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Alternate PhoneDo you have a valid Driver's License?* Yes No Driver’s License # & Issuing StateAre you CDL certified?* Yes No Are you employed now?* Yes No May we contact your present employer?* Yes No On what date would you be able for work?*Work Hours Preferred* Full Time Part Time Temporary Are you 18 years of age or older?*(If not, employment is subject to verification of minimum legal age.) Yes No Have you ever been convicted of a crime in the last ten years?* Yes No Describe crime convictionAre you legally eligible for employment in this country?*(Proof of U.S. Citizenship or immigration status will be required upon employment) Yes No How were you referred to the Company? Friend Relative Job Service Now Hiring Facebook Craigslist Website Newspaper Other EducationHigh School NameDid you graduate? Yes No College/Trade School NameDegreeSubject Area Work HistoryEmployerAddressJob TitleDates Employed: StartDates Employed: EndHourly Rate/Salary: StartHourly Rate/Salary: EndWork PerformedSupervisorPhoneMay we contact? Yes No Reason for leavingEmployerAddressJob TitleDates Employed: StartDates Employed: EndHourly Rate/Salary: StartHourly Rate/Salary: EndWork PerformedSupervisorPhoneMay we contact? Yes No Reason for leavingEmployerAddressJob TitleDates Employed: StartDates Employed: EndHourly Rate/Salary: StartHourly Rate/Salary: EndWork PerformedSupervisorPhoneMay we contact? Yes No Reason for leaving References(Give the name of the three persons not related to you, whom you have known at least one year.)NameAddressBusinessPhone I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) would result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company. I understand that nothing contained in the application or discussed during an interview, if granted, creates or is intended to create an employment contract between that company and me. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either the company or me. I authorize and release from liability all employers, persons, schools, law enforcement agencies, and other organizations named in this application to provide information requested by All Around Lawn & Landscaping. I agree to conform to the rules and regulations of the company, if I am employed and understand that my employment and compensation can be terminated with or without cause, and with or without notice, at any time at the option of either the company or me. Signature Δ
