Mariposa Landscapes Employment Application

Employment Application
Equal Employment Opportunity Employer

WE APPRECIATE YOUR INTEREST IN OUR ORGANIZATION AND ASSURE YOU THAT WE ARE SINCERELY INTERESTED IN YOUR QUALIFICATIONS. A CLEAR UNDERSTANDING OF YOUR BACKGROUND AND WORK HISTORY WILL HELP US EVALUATE YOUR QUALIFICATIONS FOR EMPLOYMENT.
SUPERVISOR
DEPARTMENT
RATE OF PAY
POSITION
START DATE
RELATIONSHIP
NOTES
PERSONAL
Name:*

FIRST NAMELAST NAME
Permanent Address:*
ADDRESS
City:*
CITY
State:*
STATE
Zip:*
ZIP CODE
Phone Number:*
E-mail Address:*
example@example.com
YesNo
YesNo
YesNo
If yes, give dates of employment:
YesNo
In case of emergency notify:*
NAME
Emergency address:*
ADDRESS
Emergency phone number:*
Phone Number
EMPLOYMENT INTEREST
MAINTENANCETREESIRRIGATIONLANDSCAPINGFLEETOFFICE
Date available:*

MonthDayYear
Date
Salary expected per hour (must indicate an amount): *
ADVERTISEMENTEMPLOYEESCHOOLAGENCYSELFOTHER
Name of the referral source:
YesNo
Name and relationship:
IF YOU ARE APPLYING FOR A POSITION WHERE DRIVING IS A REQUIREMENT ON THE JOB, PLEASE ANSWER THE FOLLOWING QUESTIONS:
YesNo
Do you have a valid driver's license?*
LICENSE NUMBER
State:*
STATE
Expiration date:*
LICENSE EXPIRATION DATE
Within the past three years how many of the following have you had? Moving Violations:*
MOVING VIOLATIONS
Accidents:*
ACCIDENTS
EDUCATION/ U.S. MILITARY SERVICE
What is your highest level of education?*
Please fill out your educational information below:
- HIGH SCHOOL Name/Address:
  NAME AND ADDRESS OF SCHOOL
- Major:
  MAJOR
- Units Completed:
  UNITS COMPLETED
- Degree/Diploma:
  DEGREES AND/ OR DIPLOMAS
- COLLEGE Name/Address:
  NAME AND ADDRESS OF SCHOOL
- Major:
  MAJOR
- Units Completed:
  UNITS COMPLETED
- Degree/Diploma:
  DEGREES AND/ OR DIPLOMAS
- UNIVERSITY Name/Address:
  NAME AND ADDRESS OF SCHOOL
- Major:
  MAJOR
- Units completed:
  UNITS COMPLETED
- Degree/Diploma:
  DEGREES AND/ OR DIPLOMAS
- OTHER Name/Address:
  NAME AND ADDRESS OF SCHOOL
- Major:
  MAJOR
- Units Completed:
  UNITS COMPLETED
- Degree/Diploma:
  DEGREES AND/ OR DIPLOMAS
- YesNo
- Please indicate languages that you: Languages you speak:*
  SPEAK
- Languages you read:*
  READ
- Languages you write:*
  WRITE
- REFERENCES
  
  LIST PEOPLE WE MAY CONTACT WHO ARE QUALIFIED TO EVALUATE YOUR CAPABILITIES (DO NOT INCLUDE RELATIVES).
- Reference 1 Name:*
  
  FIRST NAMELAST NAME
- Reference 1 Address:*
  
  ADDRESS
  
  Street Address Line 2
  
  CITYSTATE
  
  ZIP CODE
- Reference 1 Phone Number:*
- Occupation:*
- Years known:*
- Please fill out your additional references below:
- Reference 2 Name:
  
  FIRST NAMELAST NAME
- Reference 2 Address:
  
  ADDRESS
  
  Street Address Line 2
  
  CITYSTATE
  
  ZIP CODE
- Reference 2 Phone Number:
- Occupation:
- Years known:
- Reference 3 Name:
  
  FIRST NAMELAST NAME
- Reference 3 Address:
  
  ADDRESS
  
  Street Address Line 2
  
  CITYSTATE
  
  ZIP CODE
- Reference 3 Phone Number:
- Occupation:
- Years known:
- EMPLOYMENT HISTORY (10 years)
  
  GIVE EMPLOYMENT RECORDS AS COMPLETELY AS POSSIBLE, LISTING CURRENT OR MORE RECENT EMPLOYER FIRST. YOU MAY USE EXTRA SHEETS FOR ADDITIONAL INFORMATION.
- Employment History 1 Name:*
  COMPANY NAME (CURRENT OR LAST)
- Employment History 1 Address:*
  ADDRESS
- Phone Number:*
- Dates Employed (Month/Year): From Date:*
  
  MonthDayYear
  FROM
- To Date: *
  
  MonthDayYear
  TO
- Job Title:*
  JOB TITLE
- Supervisor Name/Title:*
  SUPERVISOR'S NAME AND TITLE
- Type of business:*
  TYPE OF BUSINESS
- Description of duties:*
- Reason for leaving?*
- YesNo
- Please fill out your additional employment history below:
- Employment History 2 Name:
  COMPANY NAME (CURRENT OR LAST)
- Employment History 2 Address:
  ADDRESS
- Phone Number:
- Dates Employed (Month/Year): From Date:
  
  MonthDayYear
  FROM
- To Date:
  
  MonthDayYear
  TO
- Job Title:
  JOB TITLE
- Supervisor Name/Title:
  SUPERVISOR'S NAME AND TITLE
- Type of business:
  TYPE OF BUSINESS
- Description of duties:
- Reason for leaving?
- YesNo
- Employment History 3 Name:
  COMPANY NAME (CURRENT OR LAST)
- Employment History 3 Address:
  ADDRESS
- Phone Number:
- Dates Employed (Month/Year): From Date:
  
  MonthDayYear
  FROM
- To Date:
  
  MonthDayYear
  TO
- Job Title:
  JOB TITLE
- Supervisor Name/Title:
  SUPERVISOR'S NAME AND TITLE
- Type of business:
  TYPE OF BUSINESS
- Description of duties:
- Reason for leaving?
- YesNo
- Employment History 4 Name:
  COMPANY NAME (CURRENT OR LAST)
- Employment History 4 Address:
  ADDRESS
- Phone Number:
- Dates Employed (Month/Year): From Date:
  
  MonthDayYear
  FROM
- To Date:
  
  MonthDayYear
  TO
- Job Title:
  JOB TITLE
- Supervisor Name/Title:
  SUPERVISOR'S NAME AND TITLE
- Type of business:
  TYPE OF BUSINESS
- Description of duties:
- Reason for leaving?
- YesNo
- ACKNOWLEDGEMENT
  
  1. I UNDERSTAND THAT PRIOR TO FINALIZATION OF ANY OFFER OF EMPLOYMENT REGARDING CERTAIN JOB POSITIONS, THE COMPANY MAY CONDITION THE OFFER OF EMPLOYMENT ON SATISFACTORY COMPLETION OF A MEDICAL EXAMINATION AND/OR A DRUG AND ALCOHOL SCREEN. I AGREE TO SIGN A RELEASE FORM AND TO SUBMIT TO A MEDICAL EXAMINATION AND OR DRUG AND ALCOHOL SCREEN SHOULD THE EMPLOYER REQUEST IT.
  
  2. ANY ACCEPTANCE OF EMPLOYMENT WILL BE PREDICATED UPON THE TRUTHFULNESS OF THE WRITTEN AND VERBAL STATEMENTS CONTAINED WITHIN THIS APPLICATION AND PRE-EMPLOYMENT PROCESS. I UNDERSTAND THAT SHOULD MY EMPLOYER FIND THAT ANY STATEMENT I HAVE MADE IS NOT TRUTHFUL, ANY JOB OFFER EXTENDED TO ME WILL BE WITHDRAWN AND IF EMPLOYED, I MAY BE SUBJECT TO IMMEDIATE DISMISSAL.
  
  3. I AUTHORIZE THE COMPANY TO MAKE ANY INVESTIGATION ALLOWED BY LAW WHICH MY EMPLOYER DEEMS NECESSARY FOR EMPLOYMENT CONSIDERATION AND PROMOTION WITHIN THE ORGANIZATION.
  
  4. I ACKNOWLEDGE THAT I HAVE READ ALL THE ABOVE STATEMENTS AND THAT I COMPLETELY UNDERSTAND THEM, AND THAT IF HIRED, I WILL BE AN AT-WILL EMPLOYEE AND THAT MY EMPLOYMENT CAN BE TERMINATED BY EITHER PARTY AT ANY TIME WITH OR WITHOUT CAUSE OR NOTICE.
- Upload Resume (attach PDF)
  
  Browse Files
  
  Cancelof
- Signature*
- Signature*
  
  FIRST NAMELAST NAME
- Date*
  
  MonthDayYear
- Should be Empty: