Summit Lawn and Landscape

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Summit Lawn and Landscape, Inc.
12020 Grandview Road
Grandview, Mo. 64030

Application for Employment

SKILLS
To be eligible to hold a driving position, you must have a good driver license. If you are
applying for a driving position (crew leader), may we check your driving record prior to
employment (check one)? Yes No   Driver's License #:
Can you operate a vehicle while pulling a trailer behind you? Yes No
Salary desired:    Are you employeed now? Yes No
Have you ever applied to this company before? Yes No    When?
Have you ever been convicted of a felony? Yes No    When?
Date you can start:
Position desired: Laborer Crew Leader Management
Department desired: Landscape Mowing Sprinkler Systems Lawn Fertilization Landscape Maintenance Any
Are you able to lift and carry minimum of 50lbs? Yes No
Check types of equipment you know how to operate:
Lawn Mower     Shovel/Rake     Uni-loader/Skid-Steer
Dump Truck     None
Education completed (if applicable):
Special Skills/Training:

REFERENCES
Name:    Phone:
Name:    Phone:
Name:    Phone:

FORMER EMPLOYERS
Company:   Salary:
From: To:
Reason for leaving:
Supervisior: Phone:

Company:   Salary:
From: To:
Reason for leaving:
Supervisior: Phone:

Company:   Salary:
From: To:
Reason for leaving:
Supervisior: Phone:

I hereby verify by printing my name below is equivalent to my signature.

Signature Date:

Click one: Note: A message box will appear after pressing EMAIL, click on OK.

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INSTRUCTIONS:

1.) On-Line:
Type in the blanks and click on submit at the bottom of the form. The form will be emailed directly to us.

2.) By Mail:
Type in the blanks and then print and mail the form to:

Summit Lawn
12020 Grandview Road
Grandview, MO 64030

3.) Email:
Attach your resume to an email and send to:
Summit Lawn & Landscape

Whichever method you choose, apply Now!

Questions?Ph: (816) 966-9434

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