TBR Lawn Care & Landscape Inc. Job Application Form

TBR LAWN CARE & LANDSCAPE, INC. PRE-JOB SCREENING
1. Do You Have a Valid Driver's License?*
2. Have you had a speeding violation in excess of 25 MPH within the past three years?*
3. Has your Driver's License been any of the following:
Revoked or under suspension - past 5 years*
Had any DUI's/DWI's - Past 5 years*
Had any reckless driving violations - Past 4 years*
If yes, to questions 2 and/or 3 consideration to employment will be declined.

TBR LAWN CARE & LANDSCAPE, INC. APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION
Date*

MonthDayYear
Date
Social Security Number
Name*

First NameMiddle NameLast Name
Present Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address (if less than five years)

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Email Address
example@example.com
GENERAL INFORMATION
Are you prevented from lawfully becoming employed in this country because of a visa or immigration status?*
Are you 18 years or older?*
Have you been convicted of a crime excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court? *
If "YES", please describe in full. Please note that this does not disqualify applicant from being hired with TBR Lawn Care & Landscape Inc.
Have you ever worked for TBR Lawn Care & Landscape Inc. before? *
Approximate Date: Month/Year

EMPLOYMENT DESIRED
Position*
Date you can start*

MonthDayYear
Date
Salary Desired*
Are you employed now?*
If so may we contact your present employer?*
May TBR Lawn Care & Landscape, Inc. contact your previous employers?*
Referred by
Location

Education*

	Name and Location of School	Years Attended	Did You Graduate?	Subjects Studied
High School
College
Trade or Business School

Employment History

	Date Month and Year From: To:	Name and Addres of Employer	Management Contact with Phone	Salary	Position Duties	Reason for Leaving

REFERENCES
Give the names of three persons not related to or living with you.

A previous manager or fellow co-worker is preferred.
Name*
Contact Number*

Area CodePhone Number
Occupation*
Name*
Contact Number*

Area CodePhone Number
Occupation*
Name*
Contact Number*

Area CodePhone Number
Occupation*
PLEASE READ BEFORE SIGNING

I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISRESPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED.

Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed.

It is the policy of the company to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, any and other characteristics protected by Federal, State or Local law.

I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.

If hired, I agree to abide by all of the company rules and regulation, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me. I further understand that no representation, whether oral or written by any representative or agent of the Company, at any time, may constitute a contract of employment. I understand that the Company and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the company, has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit, or other terms or conditions of employment other than in a document signed by the President or Executive Vice President, or to make any agreement contrary to the foregoing.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.
Signature*

use mouse on pc or finger on touchscreen
Date*

MonthDayYear
Date

TBR LAWN CARE & LANDSCAPE, INC. MOTOR VEHICLE CONSENT FORM
I understand that driving is a requirment of the position I am being considered for and maintaining a satisfactory driving record is a condition of my employment. I agree to allow the TBR Lawn Care & Landsacpe, Inc. to check my driving record prior to hire and to check it periodically thereafter. I further agree to report any license suspenions, serious accidents or offenses, or any other condition to human resources immediately that may affect my ability to drive any vehicles at TBR Lawn Care & Landsacpe, Inc. after I am hired.

I understand that TBR Lawn Care & Landsacpe, Inc. will use this information for employment purposes.

I agree to release TBR Lawn Care & Landsacpe, Inc., its employees and those who supplied you with the information from any liability for any damage which may result from furnishing the requested information or my failure to be hired for the position for which I am applying.
Name

First NameLast Name
Date of Birth

MonthDayYear
Driver's License Number
State of License
Signature

use mouse on pc or finger on touchscreen
Date

MonthDayYear
Date

CONSENT TO PROCUREMENT OF CONSUMER CREDIT REPORT
I understand that, as a condition of my consideration for employment with TBR Lawn Care & Landscape, Inc., or as a condition of my continued employment with TBR Lawn Care & Landscape, Inc. may obtain a consumer report that includes, but is not limited to, my creditworthiness or similar characteristics, employment and education verifications, social security verification, criminal and civil history, personal interviews, DMV records, any other public records and any other information bearing on my credit standing, credit capacity, character, general reputation, personal characteristics and trustworthiness. I understand that I must provide my date of birth to adequately complete said screening and acknowledge that my date of birth will not affect any hiring decisions.

I hereby authorize and consent to TBR Lawn Care & Landscape, Inc. procurement of such a report. I understand that, pursuant to the federal Fair Credit Reporting Act. TBR Lawn Care & Landscape, Inc. will provide me with a copy of any such report if the information contained in such report is, in any way, to be used in making a decision regarding my fitness for employment with TBR Lawn Care & Landscape, Inc. I further understand that such report will be made available to me prior to any such decision being made, along with the name and adress of reporting agency that produced the report.
Name of Applicant

First NameLast Name
Current Address

Street Address

Street Address Line 2

CityState

Zip Code
Social Security Number
Date of Birth

MonthDayYear
Signature of Applicant

use mouse on pc or finger on touchscreen
Date

MonthDayYear
Date

SUBMIT YOUR APPLICATION
Should be Empty:

TBR LAWN CARE & LANDSCAPE, INC. PRE-JOB SCREENING

TBR LAWN CARE & LANDSCAPE, INC. APPLICATION FOR EMPLOYMENT

TBR LAWN CARE & LANDSCAPE, INC. MOTOR VEHICLE CONSENT FORM

CONSENT TO PROCUREMENT OF CONSUMER CREDIT REPORT

SUBMIT YOUR APPLICATION