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Application for Employment

Name

First Name

Last Name

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Application

YYYY

Position Desired

Date Available

YYYY

Are you 18? Yes or No

Are you at least 16? Yes or No

Work Permit # (If under 18)

Have you ever been convicted of a felony within the last 7 years, which has not been annulled, expunged, or sealed by the court? Yes or No (Answering yes will not automatically disqualify you.)

If yes, please explain the conviction. (When, Where, Disposition)

Have you previously been employed by Sustainable Landscapes? If yes, when?

Have you submitted an application to Sustainable Landscapes before? If yes, when?

Educational History (Last grade or degree completed)

Last School Attended

Military History & Branch (If Applicable)

Date Entered

YYYY

Date Discharged

YYYY

Rank at Discharge

Reserve Status

Special Training Received

Previous Employment (1)

Employment History & Company Name (List most recent employment)

Company Phone Number

(###)

###

####

Company Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position Held/Description of Duties

Dates of Employment

Name/Title of Supervisor

Reason for Leaving

Final Salary/Hourly Rate

May We Contact Employer? Yes or No

Previous Employment (2)

Employment History & Company Name

Company Phone Number

(###)

###

####

Company Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position Held/Description of Duties

Dates of Employment

Name/Title of Supervisor

Reason for Leaving

Final Salary/Hourly Rate

May We Contact Employer? Yes or No

Please provide the names of two people not related to you or who have known you for more than one year and who you have a previous working relationship with, such as a former manager or supervisor.

Person 1 Phone Number

(###)

###

####

Person 2 Phone Number

(###)

###

####

Emergency Contact (Name, Relation)

Emergency Contact Phone Number

(###)

###

####

Please provide any additional information regarding any special skills, training, education, or other aspects about yourself which you believe are important for Sustainable Landscapes to know when considering your application.

Please specify if you are requesting a position that is either part time or full time? Or either?

# of Hours Available to Work per Week

Are there any factors that Sustainable Landscapes should be aware of that would affect your availability?