Preston Ponds Job Application

Water Garden & Koi Pond Maintenance

P.O. Box 113 Centerville, MA. 02632

Today's Date

Date

First Name *

Last Name *

Middle Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

How long have you been at this residence?

Cell phone *

Email *

example@example.com

**This is a seasonal employment opportunity that begins in April and ends in November.

Salary Desired *

How many hours can you work weekly? *

When are you available to start? *

Are you eligible to work in the U.S.? *

Have you ever been terminated or asked to resign from any job? *

What level of education have you completed? Check all that apply. *

High School Trade School Associates Degree Bachelors Degree Masters Degree Doctorate Degree Other

Current Licenses and/or Certificates

What languages, other than English, do you speak?

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Please list your employment history for the past five years beginning with your most recent job held.

1. Employer Name *

Address *

Phone Number *

Supervisor's Name *

Employment Start Date *

Employment End Date *

Salary

Reason for leaving, if any. *

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. *

2. Employer Name

Address

Phone Number

Supervisor's Name

Employment Start Date

Employment End Date

Salary

Reason for leaving

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

3. Employer Name

Address

Phone Number

Supervisor's Name

Employment Start Date

Employment End Date

Salary

Reason for leaving

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

4. Employer Name

Address

Phone Number

Supervisor's Name

Employment Start Date

Employment End Date

Salary

Reason for leaving

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact your present employer? *

Yes No

Please list 2 - 3 references other than relatives or previous employers.

1. Name *

Relationship to Applicant *

Company

Address

Telephone *

2. Name *

Relationship to Applicant *

Company

Address

Telephone *

3. Name

Position

Company

Address

Telephone

Applicants employed by Preston Ponds LLC will be expected to understand, respect and support the mission of Preston Ponds and abide by the rules and policies of the business.

In exchange for the consideration of my job application by Preston Ponds LLC, I agree that neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other corporate practices, shall serve to create an actual or implied contract of employment, of to confer any right to remain an employee of Preston Ponds LLC, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the owner of Preston Ponds LLC. Both the undersigned and Preston Ponds LLC may end the employment relationship at any time, without specified notice or reason. If employed, I understand that Preston Ponds LLC may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Preston Ponds LLC permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release Preston Ponds LLC from any liability as a result of such contract.

I also understand that (1) Preston Ponds LLC has a drug, alcohol, sexual misconduct, and technology policy and I consent that compliance with such policies are a condition of my employment; and (2) continued employment is based on a successful background search. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, Preston Ponds LLC may request from a consumer reporting agency, an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, Preston Ponds LLC will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

Federal laws require that employers hire only individuals who are authorized to be lawfully in the United States. In compliance with such laws, all offers of employment are subject to verification of each applicant's identity and employment authorization. I understand that it will be necessary for me to submit such documents as are required by law to verify my identification and employment authorization on the first day of employment.

I further understand that my employment shall be probationary for a period of thirty (30) days, and further that at any time during the probationary period or thereafter, by employment relation is terminable at will for any reason by either

Signature of applicant *

Clear

Date

Preston Ponds LLC is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Preston Ponds LLC depends solely on your qualifications.

PRESTON PONDS

Education

QUALIFICATIONS

Employment History