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Employment Application


Landscapes R Us – Job Application

Personal Information
Name *
First Last
Address *
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code

Country
Phone Number *
### - ### - ####
Are you eligible to work in the United States? *
Yes
No
If you are under age 18, do you have an employment/age certificate? *
Yes
No
If yes, please explain:

POSITION/AVAILABILITY:
Position Applied For *
Days Available *
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any
Hours Available *
AM
PM
Graveyard
For specific Day/Hour availability, please enter information below.
What date are you available to start work? *
MM / DD / YYYY

EDUCATION:
Name and Address Of School – Degree/Diploma – Graduation Date *
Skills and Qualifications: Licenses, Skills, Training, Awards *

EMPLOYMENT HISTORY:

Present Or Last Position:
Employer: *
Address: *
Supervisor: *
Phone Number *
### - ### - ####
Email
Position Title: *
Start Date *
MM / DD / YYYY
End Date *
MM / DD / YYYY
Responsibilities: *
Salary *
Input hourly wage, if not salaried.
Reason for Leaving: *
Previous Position
Employer: *
Address: *
Supervisor: *
Phone Number *
### - ### - ####
Email
Position Title: *
Start Date *
MM / DD / YYYY
End Date *
MM / DD / YYYY
Responsibilities: *
Salary *
Input hourly wage, if not salaried.
Reason for Leaving: *
May We Contact Your Present Employer? *
Yes
No
References: Name/Title Address Phone *
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Do you agree with the terms and conditions? *
Yes, I agree.
Initial *
Date *
MM / DD / YYYY
Image Verification
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