Landscaping Jobs

1Applicant Information

2Education

3Referrences

4Previous Employment

5Military Service

Education

High School:*

Address*

Street Address Address Line 2 City State ZIP Code

From:*

To:*

Did You Graduate?*

Yes

Diploma*

College or Trade School:

Address

Street Address Address Line 2 City State ZIP Code

From:

To:

Did You Graduate?

Yes

Diploma

Referrences

Please list two professional references.

Name*

First Last

Relationship*

Company*

Name*

First Last

Relationship*

Company*

Phone*

Previous Employment

Company*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Job Title

Supervisor

Responsibilities:

Employed From:

Employed To:

Starting Salary

Ending Salary

Reason For Leaving:

May We Contact Your Previous Supervisor For A Referrence?

Yes

Company*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Job Title

Supervisor

Responsibilities:

Employed From:

Employed To:

Starting Salary

Ending Salary

Reason For Leaving:

May We Contact Your Previous Supervisor For A Referrence?

Yes

Military Service

Branch

To:

From:

Rank at Discaharge

Type of Discharge

If other than honorable, explain:

Disclaimer and Signature

I hereby declare that all statements contained in this application are true and correct and understand that false or inaccurate information in the application will be the basis for termination. I hereby authorize Wain Landscaping LLC to investigate my background inclusive of criminal and verify this information. I understand that if employed, my employment will not be for any fixed period of time and may be terminated by Wain Landscaping LLC at any time. I also authorize Wain Landscaping LLC to release the information contained herein and its finding and work history of my employment to other forms or persons upon request. I also understand and agree that I may be expected to work on a wide variety of job assignments in the Wain Landscaping working area and agree to accept assignments for which I am qualified as they become available. I also understand my failure to report to Wain Landscaping LLC for work will indicate I have quit. I also agree to submit to drug screen upon request or as specified in Wain Landscaping LLC substance abuse policy.

Signature*

Wain Landscaping is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act) with respect to employment opportunities.

Name

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Applicant Information

Education

Referrences

Previous Employment

Military Service

Disclaimer and Signature