Employment Application

This company is an equal opportunity employer dedicated to nondiscrimination in employment. The company selects the best qualified individual for the job based on job-related qualifications regardless of race, age, color, religion, sex, national origin, ancestry, marital status, sexual preference, disability, or any other basis protected by applicable law.

* Indicates a required field.
 
*First
Middle Initial
*Last
 
Present Address 
*Street Number
*City
*State
*Zip
 
Permanent Address (if different)
Street Number
City
State
Zip
 
Home Phone (include area code)
*
Message Phone (include area code)


Email Address


What position are you applying for? 
Are you able to perform the essential functions of the position with or without accommodations?
Yes No
Date you can start 
Salary Desired 

Do you prefer: full-timepart-time

Are you legally eligible for employment in the United States of America?
Yes No

If hired, can you furnish proof that you are over 18 years of age?
Yes No

Are you employed now? 
Yes No
If yes, where?

Can we contact your present employer?
Yes No
Have you ever applied to or worked for Scott's Landscaping Inc. before?
Yes No
If yes, when? 

Do you have any relatives or friends curently working for Scott's Landscaping Inc.?
Yes No
If yes, who? 

Have you served in the United States Armed Forces?
Yes No
If yes, what branch? 
Have you ever pled guilty or "no contest" to, or been convicted of, a misdemeanor or felony?
Yes No
If yes, what give date(s) and details 

Answering yes to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

Education

Name of School City and State # of years
completed
High School 1 2 3
4 5 6
Did you Graduate? Yes No Degree
Earned
 
Name of School City and State # of years
completed
College 1 2 3
4 5 6
Did you Graduate? Yes No Degree
Earned
 
Name of School City and State # of years
completed
Graduate 1 2 3
4 5 6
Did you Graduate? Yes No Degree
Earned
 
Additional training, skills, experience, and special achievements relevant to position:


Employment:

List last employment first.
Employer name
Address
Position Title/Duties
Telephone Number(s)
Supervisor
Dates Employed
From  To 
Reason for Leaving
 
Employer name
Address
Position Title/Duties
Telephone Number(s)
Supervisor
Dates Employed
From  To 
Reason for Leaving
 
Employer name
Address
Position Title/Duties
Telephone Number(s)
Supervisor
Dates Employed
From  To 
Reason for Leaving
 
Employer name
Address
Position Title/Duties
Telephone Number(s)
Supervisor
Dates Employed
From  To 
Reason for Leaving
 

Have you ever been terminated or asked to resign from any job?Yes No
If yes, please explain:

 
Do you have adequate transportation to and from work?Yes No
 
What types of computers, equipment, and machines do you have experience operating?

 
What professional licenses, certifications or registrations do you have?

 

References:

Please list work related references only
NameCity, StateDaytime Phone Number
   
   
   

 This application will be considered active for a maximum thirty (30) days. If you wish to be considered for employment after that time, you must reapply.

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