Lawn Care Services

Landscape Maintenance

Landscape Enhancements

Commercial Snow & Ice Management

Employment Application

Name

Present address

Date of Birth (If under 18)

Telephone

Alt. Phone

Season desired

Summer

Winter

Year-Round

Position applying for

Salary Desired

Available start date

What attracted you to our company?

Are you currently employed?

Yes

Are you a citizen of the United States?

Yes

If no, are you authorized to work in the U.S.?

Yes

Education

Highest level of education achieved:

High School

College / University

Business / Trade School

Other

Did you graduate?

Yes

Criminal Record

Have you ever been convicted of a crime?

Yes

If yes, explain

Driving Record/ Certifications

Do you have a valid driver’s license?

Yes

Driver’s license number

State of issue

Type of license

Operator

Commercial (CDL)

Expiration date

What is your means of transportation to work?

Are you proficient at pulling a trailer?

Yes

Somewhat

Do you have a NYS Pesticide Applicators license?

Yes

Other Licensees/Certifications

References

Please list your work experience beginning with your most recent job held.

Name of employer

Address

Phone number

Name of last supervisor

Employment dates

From

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

May we contact this employer?

Yes

Name of employer

Address

Phone number

Name of last supervisor

Employment dates

From

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

May we contact this employer?

Yes

Name of employer

Address

Phone number

Name of last supervisor

Employment dates

From

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

May we contact this employer?

Yes