The Lawn Care Company LLC
Job Application
Applicants Name:
*
First Name
Last Name
Middle Initial
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email
*
example@example.com
General Information:
Desired hourly wage:
*
Position Applied For:
*
Do you have a valid driver's license?
*
Yes
No
Do you have a clean driving record?
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Yes
No
Are you at least 18 Years old?
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Yes
No
Do you have reliable transportation?
*
Yes
No
Education:
High School (List Name & Address)
*
Year graduated of date of GED
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College (List Name & Address)
Years attended or date graduated and course of study:
References:
Reference 1
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First Name
Last Name
How do you know this person:
*
Reference 1: Phone Number
*
Please enter a valid phone number.
Reference 2
*
First Name
Last Name
How do you know this person:
*
Reference 2: Phone Number
*
Please enter a valid phone number.
Reference 3
*
First Name
Last Name
How do you know this person:
*
Reference 3: Phone Number
*
Please enter a valid phone number.
Other Information:
Have you served in the US Armed Forces:
Yes
No
Have you ever entered into any employment or other confidentiality agreement that could limit the scope of employment at The Lawn Care Co?
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No
Yes
If "Yes", provide details:
Have you ever been convicted of a felony? (A conviction is not an automatic bar to employment. It will be considered as it relates to the position applied for.
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No
Yes
If "Yes", provide details:
What skills do you have related to this job position?
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What other skills do you have?
*
Are you available Monday thru Friday from 7am-5pm?
*
Yes
No
Are you available Saturdays if rain delays work during the week?
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Yes
No
When are you available to start?
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-
Month
-
Day
Year
Date
Employment History:
Employer Name:
*
Employer Address:
*
Starting Date:
*
-
Month
-
Day
Year
Date
Starting Wage Rate:
*
Leaving Date:
*
-
Month
-
Day
Year
Date
Final Wage Rate:
*
Employer Phone Number:
*
Please enter a valid phone number.
Name of Supervisor:
*
First Name
Last Name
Job Title/Description of Duties:
*
Reason for Leaving:
*
Can we contact employer?
*
Yes
No
Employer Name:
Employer Address:
Starting Date:
-
Month
-
Day
Year
Date
Starting Wage Rate:
Leaving Date:
-
Month
-
Day
Year
Date
Final Wage Rate:
Phone Number
Please enter a valid phone number.
Name of Supervisor:
First Name
Last Name
Job Title/Description of Duties:
Reason for Leaving:
Can we contact employer?
Yes
No
Employer Name:
Employer Address:
Starting Date:
-
Month
-
Day
Year
Date
Starting Wage Rate:
Leaving Date:
-
Month
-
Day
Year
Date
Final Wage Rate:
Employer Phone Number:
Please enter a valid phone number.
Name of Supervisor:
First Name
Last Name
Job Title/Description of Duties:
Reason for Leaving:
Can we contact employer?
Yes
No
Employer Name:
Employer Address:
Employer Phone Number:
Please enter a valid phone number.
Starting Date:
-
Month
-
Day
Year
Date
Starting Wage Rate:
Leaving Date:
-
Month
-
Day
Year
Date
Final Wage Rate:
Name of Supervisor:
First Name
Last Name
Job Title/Description of Duties:
Reason for Leaving:
Can we contact employer?
Yes
No
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Acknowledgment of Application
I certify that all statements made by me in this application are true and correct to the best of my knowledge. I understand and agree that any misrepresentations, falsifications or omissions of facts made by me on this application or during the interview process, regardless of when discovered, shall be grounds for disciplinary action, up to and including termination of employment. I hereby authorize The Lawn Care Company to fully investigate my work record and qualifications for employment before, after or during employment. I also hereby authorize my current and previous employers, educational institutions and references to provide The Lawn Care Company with any information that may be useful in obtaining employment. I hereby release my current and previous employers, educational institutions and references from any liability or claims arising from the release of such information. I understand that certain positions may require me to take and pass a medical examination and/or drug screen prior to my employment and periodically thereafter. In addition, I understand that certain positions may require a background check and/or driving record check prior to my employment and periodically thereafter. I understand that if I am applying for such a position, I will be provided additional information about the applicable procedures. I agree that if employed by The Lawn Care Co., my employment will be “at will”, which means that there is no agreement, expressed or implied between myself and The Lawn Care Company for any definite period of time. I will have the right to resign and The Lawn Care Company will have the right to terminate my employment at any time, for any reason, with or without cause, or notice. I understand and agree that no one other than the owner of The Lawn Care Company or his or her designee is empowered to modify this agreement. I have read and understand the information contained in this application, and I further agree to obey all rules, policies and practices of The Lawn Care Company.
Applicant Signature
*
Date
*
-
Month
-
Day
Year
Date
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