Application for Employment

Your interest in our company is appreciated. We comply with state and federal laws regarding equal employment opportunity. Qualified applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, sexual orientation, citizenship status, or disability if otherwise qualified with or without reasonable accommodation, or any other factor protected under federal or state law.

If you are not hired within sixty (60) days of the date of your application, you must refile if you are to be considered for future employment.

Please click on the headers to expand and collaspe sections below to fill out appropriate information. Questions marked with an "*" are required. If you are applying for a Lawn Technician position, please be sure to fill out sections 5 & 6, for all other applicants you may skip these sections.

3. Present and Past Employment

Beginning with your most recent.

1. Name & Address of Company; Type of Business

Start date:

End date:

Describe the work you did:

Weekly starting salary

Weekly ending salary

Reason for leaving

Name of Supervisor

Phone

2. Name & Address of Company; Type of Business

Start date:

End date:

Describe the work you did:

Weekly starting salary

Weekly ending salary

Reason for leaving

Name of Supervisor

Phone

3. Name & Address of Company; Type of Business

Start date:

End date:

Describe the work that you did:

Weekly starting salary:

Weekly ending salary:

Reason for leaving

Name of Supervisor

Phone

May we contact the employers listed?

Yes

No

If not, indicate which one(s) you do not wish us to contact and state the reasons why not:

Have you ever been bonded?

Yes

No

If yes, where?

Summarize special skills and qualifications acquired from employment or other experiences:

5. Lawn Tech Applicant ONLY

Can you with or without reasonable accommodation, perform these job functions?

	Yes	No
1. Driving a truck with standard transmission alone.	Yes	No
2. Operating a fertilizer spreader.	Yes	No
3. Maintaining a vehicle, including changing tires, oil, lubing, washing/waxing, pumping system & truck repairs.	Yes	No
4. Operating and maneuvering a 500 lb. aerator.	Yes	No
5. Manipulating and recoiling a 300 ft., 1/2" thick hose.	Yes	No
6. Lifting and moving approx. 60 lb. bags regularly.	Yes	No
7. Bending and walking outdoors to perform services.	Yes	No
8. Dialing and using telephones to contact customers.	Yes	No
9. Using a calculator to measure and price lawns.	Yes	No
10. Obtaining an agricultural license from this state.	Yes	No

The job for which you are applying includes the following essential functions.

Do you have any allergies that prohibit you from working with plants, plant material, pesticides, herbicides or fertilizer?

Yes

No

If yes, to which are you allergic?

List your experience or training in automotive maintenance, or any other mechanical experience:

Have you ever been disciplined or counseled by any previous employer regarding failure to comply with safety rules?

Yes

No

If yes, please describe.

6. Lawn Tech Applicant ONLY - Driving Information

Do you presently have a vaild drivers license?

Yes

No

If yes, list the following:

License information: State, Number, Type, Expiration Date

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Contact us today for your free inspection report and price quote.

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