Application for Employment

Name:   

Address:     Address 2:

City:     State:     Zip Code:

Home Phone:     Cell Phone:

Email:     Social Security #:

To be eligible to hold a driving position, you must have a good driver's license. If you are applying for a driving position (crew leader), may we check your driving record prior to employment?: Yes   No

Driver's License #:

Can you operate a vehicle while pulling a trailer behind you?:  Yes   No

Salary Desired:   Are you employed now?: Yes   No

Have you ever applied to this company before?: Yes   No 
     When?: (mm/dd/yyyy)

Have you ever been convicted of a felony?: Yes   No  
     When?: (mm/dd/yyyy)

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 all 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:

Name:     Phone:

Name:     Phone:

Name:     Phone:

Company:     Salary:

From:  (mm/dd/yyyy)   To: (mm/dd/yyyy)

Reason for leaving:

Supervisor:     Phone:

Company:     Salary:

From: (mm/dd/yyyy)    To: (mm/dd/yyyy)

Reason for leaving:

Supervisor:     Phone:

Company:     Salary:

From:  (mm/dd/yyyy)   To: (mm/dd/yyyy)

Reason for leaving:

Supervisor:     Phone: