LaShomb Lawn & Landscape Inc.

Application for Employment

Please complete the form below to apply for a position with LaShomb Lawn & Landscape Inc.. All information collected through this application will be kept confidential and only used for its intended purpose.

Full Name*

First NameMiddle NameLast Name

Date of Birth*

MonthDayYear

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

Phone Number*

Area CodePhone Number

Applying for Position*

Full Time or Part Time?*

Full TimePart Time

Expected Rate of Pay*

Please briefly describe any industry and equipment operating experience you have*

How did you hear about the position?*

Facebook / InstagramWebsiteFriend or FamilyOther

Available Start date*

MonthDayYear

EDUCATION*

	School Name	Major?	Graduate?
High School
College
Trade School

List any additional industry related certifications and training that you may have received.

Are you currently employed?

YesNo

Company Name 1

Your Job Title

Supervisor Name

First NameLast Name

Supervisor's Phone

Area CodePhone Number

Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dates Employed

Termination

VoluntaryInvoluntaryOther

Briefly describe your duties and reason for termination

May We Contact?

YesNo

Company Name 2

Your Job Title

Supervisor Name

First NameLast Name

Supervisor's Phone

Area CodePhone Number

Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dates Employed

Termination

VoluntaryInvoluntaryOther

Briefly describe your duties and reason for termination

May We Contact?

YesNo

References *

	Name	Relationship	Company Name	Phone Number
Reference 1
Reference 2
Reference 3

Are you 18 Years of Age?*

YesNo

Are you authorized to work in the United States?*

YesNo

Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws LaShomb Lawn & Landscape Inc. will verify the status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.

Do you possess a valid Driver's License?*

YesNo

Drivers License #*

Do you have CDL license?

CDL ACDL BNo

Are you able to work outdoors during all seasons?*

YesNo

Are you able to lift up to 50 lbs?*

YesNo

IN THE LAST SEVEN (7) YEARS, HAVE YOU BEEN CONVICTED OF OR HAVE YOU PLEADED GUILTY TO ANY FELONY OR MISDEMEANOR ? (Please exclude minor traffic offenses and convictions which have been sealed, impounded, erased, expunged, annulled or nolled)*

YesNo

If yes, please explain in detail and include whether you are out on bail or on probation.

Upload Resume

Upload a File

Please upload only .pdf, .doc, or .docx

LaShomb Lawn & Landscape provides equal employment opportunities to all employees, applicants, and job seekers, and is committed to making decisions using reasonable standards based on each individual’s qualifications as they relate to a particular employment action. No person shall be discriminated against in employment or harassed because of race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a physical or mental disability unrelated to ability, protected veteran status, military status, unfavorable discharge from military service, citizenship status, genetic information, marital status, parental status, ancestry, source of income, credit history, housing status, order of protection status, actual or perceived association with such a person or other classes protected by law. This policy includes the commitment to maintaining a work environment based on inclusion and free from unlawful harassment.

LaShomb Lawn & Landscape complies with all federal and state laws concerning the employment of persons with disabilities and acts in accordance with such regulations and guidance including the Americans with Disabilities Act (ADA). Employees with any questions or requests related to these laws and guidelines, including the ADA, should contact the Company’s ownership.

Applicant Statement

I certify that all of the information I have provided in order to apply for and secure work with the employer is true, complete and correct.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for 90 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with our without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specific period or defined duration. I understand that no supervisor or representative of the employer is authorized to make any assurance to the contrary and that no implied, oral or written agreements contrary to the foregoing expressed language are valid unless they are in writing and signed by the employer’s president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service whenever it is discovered.

By entering my full name below, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Date*

Date

Signature (For digital copy please type full name)*

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