Executive Lawn & Landscaping

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Application for Employment
Personal Information
First Name
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Middle Initial
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Last Name
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Street : Apt #: City : State : Zip Code :
Address :
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Email: Phone: Birthdate: Social Security # Desired Salary ($)
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Position Applied For:
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Date you can start::
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Are you able to preform the functions of the job which you are applying for?:
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Availability::
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Are you available to work full time when necessary:
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Do you have a commitment to another employer that might affect your employment with us?:

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Are you a citizen of the United States?

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If no,are you authorized to
work in the United States?
 

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Have you ever worked for this company?

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If yes, when? 
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Have you ever been convicted of a felony or a crime other than a minor traffic violation?

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If yes, explain? 
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Education
School Attended: Address: Dates Attended: Graduate: Degree:
High School:
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College:
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Other specialized training,
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References
Reference #1 Reference #2 Reference #3
Full Name:
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Relationship:
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Company:
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Phone:
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Address:
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Previous Employment
Current Employer #1 Previous Employer #2 Previous Employer #3
Company:
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Phone:
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Address:
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Supervisor:
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Job Title:
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Starting Salary:
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Ending Salary:
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Dates of Employemnt:
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Reason for Leaving:
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May we contact your previous employer for a reference?

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If you were employed under another name than your present name please indicate your former name:
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Disclaimer and Signature

I certify that the information contained in this application is correct to the best of my knowledge and I understand that falsification of this information is grounds for refusal to hire. I authorize you to make such investigations and inquiries of my personal, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, scools or individuals from al liability when responding to inquiries in connection with my application.

Please enter your name in the box below. By doing so you are hereby certifying that you are indeed the person listed above and signing this form.

PLEASE NOTE: By clicking the Submit button below, your IP Address will be recorded and this provides a means to verify your identity.
Electronic Signature (Enter your full name)
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Date: 
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