Name
*
First Name
Last Name
Email
*
Seeking a position in:
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Mowing
Landscape install
Landscape maintenance and chemical application
Irrigation install and maintenance
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone Number
*
(###)
###
####
Date of Birth
*
MM
DD
YYYY
Previous Address(es) for the past three years not including current address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you legally eligible for employment in this country?
*
Employment Type
*
What type of job are you looking for?
Have you been convicted of a crime in the last seven years?
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Driver's license number:
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Driver's license expiration date
*
MM
DD
YYYY
Driver's license issuing state
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Have you had any traffic violations in the past three years other than parking violations? (speeding, collisions, etc.)
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If yes, please provide the location, date, what charge and what penalty was ordered for each occurrence.
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
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Has any license, permit or privilege ever been suspended or revoked?
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If the answer is yes to either of the two previous questions, please provide details below
Please list experience in the operation of motor vehicles, including the type of equipment which you have operated (types of vehicles, trailers, etc). Include approximate dates and miles operated if possible.
*
Have you been the driver of a vehicle which has been involved in an accident in the last three (3) years?
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If yes, please provide the date, nature of accident, and any resulting injuries or fatalities involved
Name of previous employer
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Position Held
Date hired
MM
DD
YYYY
Date of separation
MM
DD
YYYY
Description of responsibilities:
May we contact them?
Name of previous employer
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Position Held
Date hired
MM
DD
YYYY
Date of separation
MM
DD
YYYY
Description of responsibilities:
May we contact them?
Name of previous employer
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Position Held
Date hired
MM
DD
YYYY
Date of separation
MM
DD
YYYY
Description of responsibilities:
May we contact them?
Summarize any training, skills, licenses, and/or certificates which may qualify you as being able to perform job-related functions in the position for which you are applying.
Highest level of education achieved
*
Highschool diploma or GED
Some college
Associates Degree
Bachelors Degree
Graduate School
Other
Expectations
*
If offered employment, it will be expected of you to:
-Pass a drug test.
-Provide your own reliable transportation to and from work.
-Arrive at work no later than your scheduled start time and work throughout the day
until the day's work is complete.
-Lift heavy objects up to 80lbs repeatedly throughout the day.
-Work in the outside in the elements, including light rain, cold and hot weather, high-
humidity, etc.
Work in a dusty and dirty environment.
-Maintain a positive attitude.
-Be a team player.
-Be considerate of our customers and assist them as needed.
Can you fulfill our expectations?
This certifies that this application was completed by me, and that all entries on it are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made if and after a conditional offer of employment has been extended.) I hereby release employers, health care providers and other persons from all liability in responding to inquiries and releasing information in connection to my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization. I understand, also that I am required to abide by all rules and regulations of Deep Roots Landscape Management LC. I have fully read and understand the foregoing and seek employment under these conditions.
*
Date
MM
DD
YYYY
