Application For Employment
All applicants will receive consideration for empoyment withou regad to race, color, religion, sex, pregnancy, age, marital status, national origin, physical or mental handicap. The following information is requested in order to help us make the best possible placement within the Company. All portions of this application pertaining to you must be completed. Please do not refer to information on your resume.
Personal Information
Name
SSN
Address
City
State
Zip
Phone
Cell
Email
Position Desired
Position Applied for
Desired Start Date
Select Full Time or Part Time
Salary Requirements
Amount: $
Consent for Background Investigation
It is the intent of the Company to keep all information we receive during any background investigation private and confidential. Please read and sign the statement below allowing the Company to verfy past employment and information given on this application.
Signature (Please Type Name to validate as Signature)
Date
Motor Vehicle Operation
Do you have a Valid Drivers License?
What State Issued?
DL Number
Expiration Date
Type or Class of License
Have your driving privileges ever been suspended or revoked?
Work Experience
May we contact your most recent employer(s)?
Present Employer
Business Name
Address
City
State
Zip
From MM/YY
To MM/YY
Name and Title of Supervisor
Phone
Starting Salary
Ending Salary
Job Title
Description of Duties
Reason for Leaving
Previous Employer
Business Name
Address
City
State
Zip
From MM/YY
To MM/YY
Name and Title of Supervisor
Phone
Starting Salary
Ending Salary
Job Title
Description of Duties
Reason for Leaving
General Information
Federal law prohibits the employment of unauthorized persons. Should you be hired, satisfactory proof of employment authorization and identity will be required within three (3) working days of hire. Failure to submit such proof within the required time will result in immediate dismissal.
Are you legally eligible for employment in the U.S.?
If hired, can you furnish proof of citizenship or authorization to work?
If required, would you be willing to work: Weekends or Holidays?
Have you ever applied or worked here before?
Have you used any controlled substance in the last 30 days?
Have you ever been convicted of a Felony in the past five (5) years?
If Yes, to above question. Please explain
List any relatives or friends currently employed by Fieldstone Landscape Services.
Name
Name
Name
Education, Skills & Licenses separate with comma
List all office, technical or professional skills and/or certificates, licenses and bilingual ability you possess that are relevant to the position for why you are applying.
Education
Skills
Licenses
Military Service
Were you a member of the military services?
If your answer is yes
From MM/YY
To MM/YY
Branch
Rank or Grade
Years of Service
Are you an active member of the National Guard?
Please Read This Section Before You Sign This Employment Application Form
I certify that answers given in this application are true and complete to the best of my knowledge. I understand that any false statements on this application could result in my separation from the Company. I understand the employer is not obligated to offer the position to me, even after completing this application of following a job interview. I understand the Company has certain rules and procedures, which must be followed. I agree that if I am employed I will follow the rules of the Company or be subject to disciplinary action that would mean dismissal. I understand the Company is an at-will employer, which means that any term of employment is for no definite period of time regardless of the date or payment of wages. If I am employed, such employment may be ended with or without cause or notice. No verbal agreements made during any application or interview process can be relied upon unless such agreements are in writing and signed by the owner or President of the Company. I understand if the Company hires me, my employment is conditional on my ability to provide proof of work authorization and identity as required by Federal Law and the completion of any post-employment requirements of the employer.
Type Name as Signature
Date