Lawn Care Job Application Form

Application for Employment

Please complete the form below to apply for a position with Jeffrey L Walls Lawn Care LLC. All information collected through this application will be kept confidential and only used for its intended purpose.

Full Name*

First NameMiddle NameLast Name

Date of Birth*

MonthDayYear

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

Phone Number*

Area CodePhone Number

Applying for Position*

Full Time or Part Time?*

Full TimePart TimeOpen to any workOther

Are You Currently Attending School?*

YesNo

Please briefly describe any landscaping and lawn care experience you have.

Have you ever been employed*

YesNo

Are you currently employed*

YesNo

Company Name

Are you currently employed by this Company?

YesNo

Your Job Title

Pay Rate

Pay Type

HourSalaryDay RateOther

Supervisor Name

First NameLast Name

Supervicor's Phone

Area CodePhone Number

Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dates Employed

May We Contact?

YesNo

Company Name

Are you currently employed By This Company?

YesNo

Your Job Title

Pay Rate

Pay Type

HourSalaryDay RateOther

Supervisor Name

First NameLast Name

Supervicor's Phone

Area CodePhone Number

Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dates Employed

May We Contact?

YesNo

Are you currently employed?

YesNo

Company Name

Are you currently employed By This Company?*

YesNo

Your Job Title

Pay Rate

Pay Type

HourSalaryDay RateOther

Supervisor Name

First NameLast Name

Supervicor's Phone

Area CodePhone Number

Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Dates Employed

May We Contact?

YesNo

Reference 1 Name*

First NameLast Name

Reference 1 Phone*

Area CodePhone Number

Reference 1 Email Address

example@example.com

Reference 2 Name*

First NameLast Name

Reference 2 Phone*

Area CodePhone Number

Reference 2 Email Address

example@example.com

Reference 3 Name*

First NameLast Name

Reference 3 Phone*

Area CodePhone Number

Reference 3Email Address

example@example.com

Are you legally allowed to work in the United States?*

YesNo

Do you possess a valid Driver's License?*

YesNo

Are you able to lift from the ground?*

YesNo

Are you able to work outdoors during all seasons?*

YesNo

Are you able to handle gasoline, diesel, insecticides, etc?*

YesNo

Are you able to spend hours on your feet?*

YesNo

Have you ever operated a weed eater/whacker?*

YesNo

Are you able to lift up to 50 lbs?*

YesNo

Have you ever operated an edger?*

YesNo

Have you ever used a Push Mower?*

YesNo

Have you ever operated a Zero Turn Mower?*

YesNo

No one under the age of 18 is aloud to operate a riding mower. zero turn mower in the state of Pennsylvania for an employer.

Do you have any known allergies to plants or chemicals?*

YesNo

What is your Availability

Full time: Monday - Friday 7am - 5pmPart Time Monday - Friday 9:30am - 1:30pmPart Time Sunday Crew Hours Depend on work that needs done.Other

Are you available in the winter for snow removal?*

YesNo

If yes What is your availability*

Start date

MonthDayYear

Desired Pay (Per Hour)

Per Hour

Upload Resume

Upload a File

Please upload only .pdf, .doc, or .docx

Applicant Statement

I certify that all of the information I have provided in order to apply for and secure work with the employer is true, complete and correct.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
I understand that this application remains current for 90 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same rights to terminate my employment at any time, with our without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specific period or defined duration. I understand that no supervisor or representative of the employer is authorized to make any assurance to the contrary and that no implied, oral or written agreements contrary to the foregoing expressed language are valid unless they are in writing and signed by the employer’s president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service whenever it is discovered.

By entering my full name below, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Name*

First NameLast Name

Signature*

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