GREEN TURF IRRIGATION COMPANY ON LINE APPLICATION FORM

Today's Date

Green Turf is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, veteran status or any disability as provided in the Americans With Disabilities Act.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed.

Each question should be answered in a complete and accurate manner as no action can be taken on this application until all applicable questions have been answered.

Name:

First Name Middle Name Last Name

Phone #:

Best Contact #

Email:

example@example.com

If you worked in any of your previous positions under another name, please give that name(s):

Address:

Street Address

Street Address Line 2

City State / Province

Zip Code

Are you over 18 years old?

YES NO

Do you have the legal right to be employed in the United States?

YES NO

Have you ever been convicted of any State or Federal crime (excluding minor traffic violations) including DWI?

YES NO

If YES, Please state the offense, Location, Date, and Disposition:

Drivers License (State Issued):

State (2 letter) IL, MO

Drivers License Classification Type:

A B C D E F CDL

Is your Drivers License currently valid and legal in either Illinois or Missouri?

YES NO

Are you willing to have a drug and background test done? (Note: drug test is required for employment)

YES NO

Type of work you seeking:

Full Time Part-Time Temporary or Summer employment?

What position are you applying for:

Irrigation Service Technician Installation Foreman Laborer/Helper

Salary or Wage Desired:

Yearly Salary/Hourly Wage (List either)

Approximate date you would be able to start:

Date

How did you hear about us?

Website, Online Search, Referral, Website Employment site(which one), Facebook..etc

Have you ever worked for our company before?

YES NO

If you have applied or worked for Green Turf Irrigation Co. in the past, please state when and where you applied or worked:

Are you now, or do you expect to be, working in any other business or job?

Yes No

Are there any days or hours you would be unable or unwilling to work? If yes, please specify those days or hours:

Are you presently employed?

YES NO

If YES, may we contact your present employer?

YES NO

Have you ever been fired, or asked to resign from a job? If YES, please explain:

Have you had any computer or word processing experience or training?

Yes No

Can you comfortably use a computer tablet?

YES NO

If yes, please describe what types you have used:

Other than English, what languages do you speak fluently?

Use this space below to describe why you are interested in working for our company and to list those skills and abilities that you feel particularly qualify you for a position with us. Also list any current certifications or licenses you have acquired:

Give three(3) references, not relatives or former employers/supervisors:

Enter "Name......Address.......Phone......Occupation" for each

GREEN TURF IRRIGATION COMPANY

EMPLOYMENT DESIRED

SPECIAL SKILLS

REFERENCES

EDUCATION

MILITARY:

CAPABILITY/RELIABILITY:

WORK HISTORY