Employment Application
PERSONAL INFORMATION:
Last Name
First Name
Date of birth
Street
City
State
Zip
Home Phone
Mobile #
AVAILABILITY:
Email
What type of position are you seeking?
Part Time
Full Time
Have you ever been convicted of a felony?
Are you legally able to be employed in the United States?
Yes
No
Yes
No
Date available to start work
MOST RECENT EDUCATION:
Name of school
City and State
Last Grade Completed
Did you graduate?
Yes
No
EMPLOYMENT HISTORY:
Are you currently enrolled?
Yes
No
Company
Address
Start Date
Phone
Position
Supervisor
End Date
Wage / Salary
Company
Address
Phone
Position
Supervisor
Start Date
End Date
Reason for leaving
I CERTIFY THAT THIS INFORMATION IS ACCUTATE AND COMPLETE. GIVING INCOMPLETE OF FALSE INFORMATION IN AN APPLICATION FOR EMPLOYMENT IS A SERIOUS MATTER AND IS GROUNDS FOR DISMISSAL. BY SUBMITTING THIS FORM I HEREBY ACKNOWLEDGE NOTIFICATION THAT LOREN'S LAWN & LANDSCAPE MAY REQUEST INFORMATION REGARDING MY CHARACTER, GENERAL REPUTATION OR MODE OF LIVING
Wage / Salary