EMPLOYMENT APPLICATION
What Position Are You Applying For?
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Personal Assistant
Lawn Maintenance Crew Leader
Lawn Maintenance Crew Member
Delivery and Pickup Driver
PERSONAL INFORMATION
FULL NAME:
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First Name
Middle Initial
Last Name
DATE:
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-
Month
-
Day
Year
Date
ADDRESS:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMAIL:
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example@example.com
PHONE:
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Format: (000) 000-0000.
DATE AVAILABLE:
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Month
-
Day
Year
Date
DESIRED PAY: $
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*
HOUR
SALARY
EMPLOYMENT DESIRED:
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FULL-TIME
PART-TIME
SEASONAL
EMPLOYMENT ELIGIBILITY
ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S?
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YES
NO*
HAVE YOU EVER WORKED FOR THIS EMPLOYER?
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YES*
NO
*IF YES, WRITE THE START AND END DATES:
HAVE YOU EVER BEEN CONVICTED OF A FELONY?:
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YES*
NO
*IF YES, PLEASE EXPLAIN:
ARE YOU WILLING TO CONSENT TO A DMV/BACKGROUND CHECK?
*
YES
NO
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EDUCATION
HIGH SCHOOL:
CITY/STATE:
GRADUATE?
YES
NO
DIPLOMA:
COLLEGE:
CITY/STATE:
GRADUATE?
YES
NO
DEGREE:
REFERENCES
FULL NAME:
*
RELATIONSHIP:
*
COMPANY:
*
TITLE:
*
EMAIL:
*
example@example.com
PHONE:
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Format: (000) 000-0000.
FULL NAME:
RELATIONSHIP:
COMPANY:
TITLE:
EMAIL:
example@example.com
PHONE:
Format: (000) 000-0000.
DISCLAIMER
Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order to be considered.
Please complete each section EVEN IF you decide to attach a resume.
I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.
SIGNATURE
DATE
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Month
-
Day
Year
Date
PRINT NAME
Start Date:
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Month
-
Day
Year
Date
Please Upload Your Resume/Work History Here
*
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