Employment Application
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Position(s) Applied For
How Did You Hear About this Position?
Last Name (As it appears on drivers license)*
First Name (As it appears on drivers license)*
Middle Name
Address*
City*
State
Zip*
Home Phone
Cell Phone
Work Phone
Social Security Number*
EmailAddress*
Have you filed an application here before?
If Yes, give date
Have you ever been employed here before?
If Yes, give date
Are you employed now?
May we contact your present or previous employer?
Are you on a lay-off and subject to recall?
Are you available to work Full Time?*
On what date would you be available for work?
Can you work overtime if a job requires it?
Can you travel if a job requires it?
Would you have a reliable means of transportation to and from work?
Can you provide proof of U.S. citizenship or proog of your legal right to live and work in the country?
Have you been concivted of a felony within the last 7 years?
(Answering yes to this question does not disqualify you from being considered for employment.)
If Yes, please explain
*Criminal Convictions, Work Release and Parole -  Employees of Suburban Landscape Management regularly have personal contact with customers and the public, and work at and/or have access to customer's homes and places of business. Therefore, Suburban Landscape Management has a legitimate interest in knowing whether employees and applicants for employment have been convicted of a crime, are on work release or on parole from a criminal conviction, any one of which may disqualify applicants from employment or may be grounds for termination of such employee.
Motor Vehicle Information Authorization
Drivers License Number
State of Issue
Date of Birth (As it appears on drivers license)
Expiration Date
I hereby verify that I have applied for employment with the individual or entity requesting my records from the Motor Vehicle Department and give the Division permission to release the records specified to the individual or entity making the request.
By checking the yes box you agree to the terms above*
Education
Name of High School
Years of High Scool Completed
Name of College / University
Years of College / University Completed
Course of Study / Degree
Why Should we hire you? Give any additional information you feel may be helpful to us in considering your application.
References

Give names of three people other than relatives or former supervisors who are familiar with your abilities.

Include Name, Phone Number, Occupation and Years Known for each Reference below.

Reference 1 Contact Information
Reference 2 Contact Information
Reference 3 Contact Information
Employment Experience
Start with your present or last job. Include military service assignments and volunteer activities. You may exclude organization names that indicate race, color, religion, gender, and national origin. Handicap or disability or other protected status.
1. Work Experience
Employer
Telephone
Address
Position
Supervisor
Reason For Leaving
Dates Employed (from - to)
Starting Hourly Salary
Final Hourly Salary
Work Performed
2. Work Experience
Employer
Telephone
Supervisor
Address
Position
Reason For Leaving
Dates Employed (from - to)
Starting Hourly Salary
Final Hourly Salary
Work Performed
3. Work Experience
Employer
Telephone
Address
Position
Supervisor
Reason For Leaving
Dates Employed (from - to)
Starting Hourly Salary
Final Hourly Salary
Work Performed
Applicant's Statement
I certify that answers given herein are true and complete. I authorize investigation of references, work records, education, driving records, criminal background and other matters related to my suitability for employment. I further authorize the employer references I have listed to disclose to the company any and all documents, transcripts, letters, reports and other information without giving me prior notice of such disclosure. I hereby release the company, my former employers, and all other persons any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosures. If offered a position with the company, I hereby agree to any physical, psychological, skill, drug or medical tests required as a condition of employment. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee my resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this corporation. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. I understand and agree that the company’s acceptance of this job application does not mean that a position is open (unless specifically posted) or that the company has agreed to hire me. The company is under no obligation to hire me by accepting this completed application. I understand that nothing contained herein or in any other publication or statement specifies or implies a just cause employment agreement and that all employment with Suburban Landscape Management is at will.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.*
Policy Statement
EQUAL OPPORTUNITY STATEMENT – This company is committed to the principles of equal employment opportunity and does not discriminate due to race, religion, color, national origin, sexual orientation, physical or mental handicap. The company will make all reasonable effort to accommodate those physical or mental limitations of an otherwise qualified employee. SEXUAL HARASSMENT AND DISCRIMINATION POLICY STATEMENT – This company will not tolerate any form of discrimination or sexual harassment. Any employee who engages in discrimination or sexual harassment after an investigation conducted by this company will be subjected to appropriate discipline up to and including termination. DISCLOSURE TO APPLICANTS CONCERNING DRUG TESTING – If you are offered a position with the company, you will be given a drug test. Your refusal to submit to a drug test means that you will not be employed by this company. I HAVE READ THE ABOVE POLICY STATEMENTS, UNDERSTAND THEM AND AGREE TO BE BOUND BY THEM IF EMPLOYED BY THIS COMPANY.
I certify that I have read, fully understand and accept all terms of the foregoing Policy Statement.*