Employoment | Meadow Spring LandscapingMeadow Spring Landscaping

Personal Information

Name

Last, First & Middle Intial

Date

Address

City

State

Zipcode

Home Phone

Cell Phone

Are you lawfully prevented from becoming employed in this Country because of Visa or immigration status?

Yes

If Yes, please explain:

Are you 18 or older?

Yes

Education

What is your highest year of education?

Do you possess a current Drivers License?

Yes

If Yes, what State issued your Drivers License?

Have you had any point violations against your driving record in the past ten years?

Yes

If Yes, please explain:

Many positions require lifting (50-75 lbs), prolonged sitting or standing and repetitive movements. Are you capable of performing these functions with or without any accommodation?

Yes

If no, please explain your circumstances.

This position requires your daily attendance at work, Monday through Friday, and sometimes on Saturday. Will you be able to meet these requirements?

Yes

If No, please explain:

Employment Desired

Position

Date you can start:

Salary:

Have you ever applied to this company before?

Yes

If Yes, When and Where?

Referred by:

Are you employed now?

Yes

Operator Positions

List each piece of equipment that you have experience running as well as the make and model. Also, list the type of work you were doing with each piece of equipment.

Current Employer

Start Date

End Date

Position

Name & Address of Employer

Supervisor

Reason for leaving

If Yes, may we inquire of your present employer?

Yes

Former Employers

Name & Address of Employer

Supervisor

Start Date

End Date

Position

Reason for leaving

Additional Former Employers

Add another Former Employer?

Yes

Start Date

End Date

Position

Name & Address of Employer

Supervisor

Reason for leaving

References

1. Name

Phone Number

Business

Years Aquainted

2. Name

Phone Number

Business

Years Aquainted

3. Name

Phone Number

Business

Years Aquainted

Emergency Contact

Name

Phone Number

Relation

Agreement

“I certify that all the information submitted by me on this application is true, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time and/or I may be subject to denial of benefits. In consideration of my employment, I agree to conform to the Company’s rules and regulations. I agree that my employment and compensation can be terminated with or without cause, and with or without notice, at any time, at either my or my company’s option, I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the Company. I understand that no company representative other than it’s President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for an specific period of time, or to make any agreement contrary to the foregoing.”

Employment

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Meadow Spring Landscaping Give us a call: 540-948-3111 Email us: info@meadowspringlandscaping.com

Personal Information

Education

Employment Desired

Operator Positions

Current Employer

Former Employers

Additional Former Employers

References

Emergency Contact

Agreement

Meadow Spring Landscaping
Give us a call: 540-948-3111
Email us: info@meadowspringlandscaping.com