Employment Application Form

Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookTwitterCraigslistOther (please specify)
Other:
Position Applied For:
Current Hourly Rate:
Desired Hourly Rate:
Employment Desired

Full TimePart TimeSeasonal
Date Available:
Are You Currently Employed?*

YESNO
If so, where?
Have You Ever Been Convicted Of A Felony?*

YESNO
If You Have Been Convicted Of A Felony, Would You Mind Explaining?*
What Is Your Means Of Transportation?*
Are You A Citizen Of The US?*

YESNO
Do You Have A Drivers License?*

YESNO
Are You Authorized To Work In The US?*

YESNO
Do You Have A License Relating To CDL, Hydraulic, etc?*

YESNO
If You Have A License, Is It Up-To-Date?*

YESNO
Have You Worked With Us Before?*

YESNO
If You Have A License, What Type Is It?
Have You Been In Any Accidents In the Past 3 Years?*

YESNO
If You've Been In Any Accidents Over The Past Three Years, How Many?
Are You Able To Bend To Lift Objects Off The Ground?*

YESNO
Can You Work Outdoors During Any Season?*

YESNO
Are You Able To Spend Hours On Your Feet?*

YESNO
Are You Willing To Stay Longer Than Predicted Time To Complete A Job?*

YESNO
Can You Work With A Rake, Trimmer, And Other Tools?*

YESNO
Are You Able To Handle Gasoline, Diesel Fuel, Insecticides, etc?*

YESNO
Are You Able To Lift Up To 80 lbs?*

YESNO
If You Answered No To Any Of The Previous Seven Questions, Can You Explain?
Can You Pull A Trailer Proficiently?*

YESNO
Do you have pre-existing knowledge of plant material, lawn installations, patio/retaining wall installations, and/ or landscaping?*

YESNO
Are you able to operate heavy equipment like dump trucks, skid steers, mini excavators, ect?*

YESNO
If You Answered Yes To Any Of The Previous Three Questions, Please Explain.
Upload Resume:*

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Upload References (if not included in resume):

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By Checking, I Authorize Chidsey Landscape & Design To Complete A Criminal Background Check On Me.*

I agree
By Checking, I Authorize That My Answers Are True To The Best Of My Ability And Knowledge. If This Application Leads To Employment, I Understand That False Or Misleading Information In My Application Or Interview May Result In My Release.*

I agree
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