EMPLOYMENT APPLICATION

EATDIRT LS & CLEANUP LLC

EMPLOYMENT APPLICATION
Date of Application

MonthDayYear
2 digit month, 2 digit day, 4 digit year
APPLICANT INFORMATION
Full Name
Phone
Format: (000) 000-0000.
Email
example@example.com
Current Address
City
State
Zip
Are you legally authorized to work in the U.S.?
Do you have a valid driver's license?
If yes Drivers License State
License # (Optional)
Do you have reliable transportation to work?
POSITION APPLYING FOR
Position
Available Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Work Availability (Check all that apply):
PREVIOUS EXPERIENCE
Have you worked in landscaping, lawn care, or grounds maintenance before?
If yes, describe your experience
List last two employers (if any):
Company
Position / Duties
Dates Worked
From _ to_
Reason for Leaving
Company
Position / Duties
Dates Worked
From _ to_
Reason for Leaving
SKILLS CHECKLIST (Check all you have experience with)
PHYSICAL REQUIREMENTS
Landscaping involves lifting, bending, heat, cold, and being outdoors.Are you able to work outside in different weather conditions?
Can you lift 50 pounds or more?
REFERENCE (Optional)
Name
Phone
Format: (000) 000-0000.
Relationship
Years Known
EMERGENCY CONTACT
Name
Relationship
Phone
Format: (000) 000-0000.
I certify that the information given in this application is true and complete to the best of my knowledge. I understand that false information may result in refusal or termination of employment.
Applicant Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty:

APPLICANT INFORMATION

POSITION APPLYING FOR

PREVIOUS EXPERIENCE

List last two employers (if any):

PHYSICAL REQUIREMENTS

REFERENCE (Optional)

EMERGENCY CONTACT