APPLICATION FOR EMPLOYMENT


PERSONAL

First Name:
Middle Name:
Last Name:
Social Security Number:


Current Address:
City:
State:
Zip Code:

Telephone Number w/ Area Code:

Are you a military veteran? Yes No
Are you legally able to work in the United States? Yes No

Have you ever been convicted of a crime? Yes No
If yes, please explain number of convictions, nature of offenses, how recent such offenses were committed, sentences imposed and type of rehabilitation.
 



EMPLOYMENT DESIRED

Job Title: Mowing Technician Pesticide Applicator Full Maintenance
Date Available to Start:
Wage Desired:



EDUCATION

Do you have a High School Diploma or GED? Yes No
Name of High School:
Name of College (if attended):


DRIVER'S LICENSE

Do you have a valid Driver's License? Yes No
Driver's License Number:
State of Issue:
Have you had any accidents in the past 3 years?Yes No
Have you had any moving violations in the past 3 years? Yes No

EMPLOYMENT HISTORY

Company Name:
Company Phone:    
Company Address:
Job Title:
Supervisor:
Start Date:     End Date:
Rate of Pay:
Job Duties:
Reason for Leaving:


Company Name:
Company Phone:
Company Address:
Job Title:
Supervisor:
Start Date:     End Date:
Rate of Pay:
Job Duties:
Reason for Leaving:


Company Name:
Company Phone:
Company Address:
Job Title:
Supervisor:
Start Date:     End Date:
Rate of Pay:
Job Duties:
Reason for Leaving:


May we contact your present/former employers? Yes No

Please provide any additional info you want to add.


Precision Lawn Care, LLC is an Equal Opportunity Employer providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as covered veteran in accordance with applicable Federal, State and Local laws.  Precision Lawn Care, LLC is a drug free workplace.

I authorize investigation of all statements contained in the application.  I understand that omission or misrepresentation of facts is cause for dismissal. 

Signature: (Please type name.)
Date: