Job Application

Full Name*

First NameMiddle InitialLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Social Security Number:*

Date Of Birth*

E-mail*

example@example.com

Home Phone Number*

Area CodePhone Number

Cell Phone Number*

Area CodePhone Number

Available start date:*

MonthDayYear

Starting Wage Desired:

Do you have a valid driver's license?

YesNo

Are you authorized to work and remain in the United States?

YesNo

Were you ever discharged or forced to resign from any position?

YesNo

If Yes, Explain:

Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.

YesNo

If Yes, Explain:

Are you a High School Graduate?

YesNo

High School Equivalency?

YesNo

Are you presently attending school?

YesNo

Describe your skills regarding construction, lawn care, and landscape.

Tools you know how to operate:

Name of Employer:

Job Title:

Phone Number

Area CodePhone Number

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Supervisor:

Ending Salary Per Month:

Date started

MonthDayYear

Date ended

MonthDayYear

Reason for Leaving:

Description of Duties:

Do you have additional employers to enter?

YesNo

Name of Employer:

Job Title:

Phone Number

Area CodePhone Number

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Supervisor:

Ending Salary Per Month:

Date started

MonthDayYear

Date ended

MonthDayYear

Reason for Leaving:

Description of Duties:

Inquiry may be made of your current and former employers/schools you attended.

May we contact your present employer?

YesNo

May we contact your former employers?

YesNo

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Business or Occupation

Phone Number

Area CodePhone Number

Upload File

Upload a File

APPLICANT’S STATEMENT AND AUTHORITY TO RELEASE INFORMATION

(Required for ALL Positions)

I understand that this employment application and any other documents are not contracts of employment, and any person hired may be terminated by the employer at any time for any reason. I understand that any oral or written statements to the contrary are expressly disavowed and should not be relied upon by a prospective or existing employee. I understand that Midwest Fence & Lawn, LLC may modify, change, or revoke any of its employment policies, pay practices, and benefits without my agreement. I hereby state that all answers on this application are true and understand that falsifying this information can lead to termination if hired.

I hereby authorize any and all persons, companies, or agencies to release any and all background information, of a confidential or privileged nature, including criminal history, relevant to this application and any pertinent information they may have to the hiring authorities of Midwest Fence & Lawn, LLC. I release all such parties from all liability of every kind as the result of furnishing the same to Midwest Fence & Lawn, LLC. This information is to be used to assist the in determining my qualifications and fitness for the position I am seeking. I hereby release Midwest Fence & Lawn, LLC and its officers, agents and employees from any liability for the use of any and all of the foregoing information, in consideration for being reviewed for the aforesaid position.

Should there be any questions regarding the validity of this release, you may contact me as indicated below.

Signature*

Date Signed*

MonthDayYear

Midwest Fence & Lawn, LLC

Application for Employment

Education:

Skills

Employment History

Personal References

Resume (Optional)

Midwest Fence & Lawn, LLC