Legacy Landcare Application Form
Please fill out this quick form to apply for the job position you are interested in. Provide your details and upload your resume.
Employer Information
Name: Urban & Sons, LLC dba Legacy Landcare
Address: 145618 Impatiens Dr, Wausau, Wisconsin 54401
Telephone: 715-574-6032
Email: contact@legacylandcarewi.com
Website: www.legacylandcarewi.com
It is the policy of Urban & Sons, LLC dba Legacy Landcare to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
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Applicant Information
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Position Applying For
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Higher Education Background
College/University Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Did you receive a degree?
Yes
No
If yes, degree(s) received
Other Training (graduate, technical, vocational)
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Highschool/GED Background
High School/GED Name
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Did you receive a Diploma/GED?
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Yes
No
Awards, Honors, Special Achievements
Please indicate any current professional licenses or certifications that you hold
Military Service
Yes
No
Branch
Specialized Training
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Applicant Employment History
List your current or most recent employment first. Please list up to three jobs, if applicable (including self-employment and military service) which you have held, beginning with the most recent.
Employer 1 Information
If you have no available information for this section, move onto the next*
Employer Name
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving
Employment Start Date
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Month
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Day
Year
Date
Employment End Date
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Month
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Day
Year
Date
Brief Summary of Job Duties
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Employer 2 Information
If you have no available information for this section, move onto the next*
Employer Name
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving
Employment Start Date
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Month
-
Day
Year
Date
Employment End Date
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Month
-
Day
Year
Date
Brief Summary of Job Duties
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Employer 3 Information
If you have no available information for this section, move onto the next*
Employer Name
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reason for leaving
Employment Start Date
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Month
-
Day
Year
Date
Employment End Date
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Month
-
Day
Year
Date
Brief Summary of Job Duties
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Employment Questions
If applicable, are you available to work overtime?
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Yes
No
If you are offered employment, when would you be available to begin work?
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If hired, are you able to submit proof that you are legally eligible for employment in the United States?
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Yes
No
Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?
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Yes
No
What reasonable accommodation, if any, would you request?
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer:
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References
List the name and contact information for any two non-relatives who would be willing to provide a reference for you.
Reference 1
First Name
Last Name
Reference 1 Phone Number
Reference 1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to Reference 1
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Reference 2
Reference 2
First Name
Last Name
Reference 2 Phone Number
Reference 2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to Reference 2
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Resume/Cover Letter Upload
Cover Letter
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Upload Your Resume (PDF or Word format)
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Certification
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize Urban & Sons, LLC dba Legacy Landcare to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owners/Shareholders, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at anytime and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Urban & Sons, LLC dba Legacy Landcare, except in a specific written contract of employment signed on behalf of the organization by its Owners/Shareholders, has the power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION, I UNDERSTAND AND AGREE TO ITS TERMS.
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I Agree
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