Employment Application
PERSONAL INFORMATION:
Last Name	First Name
Street
City	State	ZIP
Home Phone	Cell Phone
Email
Lawn Care experience?	Yes No
Landscaping experience?	Yes No
Are you mechanically inclined?	Yes No
Do you have a drivers license?	Yes No
AVAILABILITY:
What type of position are you seeking?	Full Time Part Time
Date available to start work:
BACKGROUND HISTORY:
Have you ever been convicted of a felony?		Yes No
Are you legally able to be employed in the United States?		Yes No
MOST RECENT EDUCATION:
Name of School	City and State
	Yes No	Yes No
Last Grade Completed	Did you Graduate?	Are you currently enrolled?
EMPLOYMENT HISTORY:
Company Name	Address	Phone
Position	Supervisor
Start Date	End Date		Wage
Reason for Leaving
Company Name	Address	Phone
Position	Supervisor
Start Date	End Date		Wage
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 and LANDSCAPE MAY REQUEST INFORMATION REGARDING MY CHARACTER, GENERAL REPUTATION OR MODE OF LIVING