Todays Date: *
Position Applying for: *
Please Answer All Questions. Resumes Are Not A Substitute For A Completed Application.
We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national
origin, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.
Applicant Name: *
Phone Applicant Address:
* Applicant Email: *
Type of Employment desired? * Are you willing to work Overtime? * First Available Start Date: *
Drivers License #: * List any traffic violations within the last ten years: * Within the past ten (10) years, have you been convicted of a felony? *
(Do not include convictions
that were sealed, eradicated, erased, or expunged; convictions that resulted in referral to a diversion program; or marijuanarelated convictions that are more than two (2) years old.)
If Yes, please explain so that individual circumstances can be considered.
NOTE Criminal convictions will not automatically disqualify an applicant from a particular job. The Company will consider the nature of
the crime, its seriousness, whether the conviction(s) substantially relates to the position's functions and qualifications, the frequency of
convictions, the applicant's age at the time of conviction, the time elapsed since the date of conviction or completion of jail sentence, the
applicant's entire work and educational history, and employment references and recommendations. An ex-offender who is denied
employment may, upon written request, receive a statement of the reason(s) for denial within 30 days. Applicants are not required to
disclose the existence of any arrest, criminal charge, or conviction, the records of which have been erased. Criminal records subject to
erasure are records pertaining to a finding of delinquency or the fact that a child was a member of a family with service needs, an
adjudication as a youthful offender, a criminal charge that has been dismissed or knolled (not prosecuted), a criminal charge for which the
person was found not guilty, or a conviction for which the offender received an absolute pardon. Any person whose criminal records have
been erased is deemed to have never been arrested within the meaning of the law as it applies to the particular proceedings that have been
erased, and may so swear under oath.
Have you ever initiated an act of violence in the workplace? * If under the age of 18, can you produce the necessary work certificate at the time of employment?
If the applicant is a minor, the applicant’s parent or legal guardian must sign the foregoing release and consent. Signature by the applicant's parent or legal guardian constitutes acknowledgement by the applicant and the parent or legal guardian that the Company, to the extent permitted by federal, state, and local law, can test the applicant for controlled substances, conduct
inspections of property without notice, and communicate screen results to Company personnel who need to know, the applicant, and the applicant's legal guardian.
Do you Smoke? * Work History & Skills List Technical Skills *
List special technical skills that you feel qualify you for the job for which you are applying (i.e., skid steer
operation, type of mowers used, trailer driving, computer programming, language, equipment operation, special
tools or machines, etc.):
List any Hobbies or Interests: Highest Level of Education Completed: * Work Experience
Start with your present or last place of employment. You may include any verifiable work performed on a volunteer basis,
internships, or military service.
1. Employer Name * Position Title: * Start Date: *
End Date: *
Supervisor Name & Phone Number: * Starting Wage: * Ending Wage: * Reason For Leaving: * 2. Employer Name * Position Title: * Start Date: *
End Date: *
Supervisor Name & Phone Number: * Starting Wage: * Ending Wage: * Reason For Leaving: * 3. Employer Name *
(If there is no other work history please type N/A, in all required fields below)
Position Title: * Start Date: *
End Date: *
Supervisor Name & Phone Number: * Starting Wage: * Ending Wage: * Reason For Leaving: * References
Please list the names of additional work-related references we may call. Individuals with no prior work experience may list
school or volunteer related references.
1. Reference *
2. Reference *
3. Reference *
I understand and agree that if driving is a requirement on the job for which I am applying, my employment and/or continued employment is contingent on
possessing a valid driver's license and automobile liability insurance in an amount equal to the minimum required by the state where I reside.
I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol-testing program consistent with applicable
federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment
(post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free
workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to the Company's policy and
federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of
alcohol or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to
undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state, and local law.
If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right,
without prior warning or notice, to conduct investigations of property (including, but not limited to briefcases, equipment, and vehicles) and, in certain
circumstances, my personal property.
I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, may be required to sign a
confidentiality, non-compete, and/or conflict of interest statement. I certify that all the information on this application, my resume, or any supporting
documents is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may
result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.
I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT
REPRESENTATIVE IS INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT OFFER OR PROMISE OF
EMPLOYMENT. I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY EMPLOYMENT IS ON AN AT-WILL BASIS. THIS
MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE OR
ADVANCE NOTICE IN ACCORDANCE WITH STATE LAW AND ACCEPTANCE OF EMPLOYMENT IS NOT A "'CONTRACT
OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE
COMPANY AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A
WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME. I AGREE TO
CONFORM TO THE RULES AND REGULATIONS OF THE COMPANY AND I UNDERSTAND THAT THE COMPANY HAS
COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME EXCEPT THAT WILL NOT
MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.
I authorize the Company or its agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking and to the
extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation. I authorize and
consent to without, reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge and
hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to the Company or its duly authorized representative
pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above
requested information. I hereby release from "ability the Company and its representative for seeking such information and all other persons, corporations, or
organizations furnishing such information.
If hired by this Company, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally
employed in the United States. I also understand this Company employs only individuals who are legally eligible to work in the United States.
Applicant Name: *
Application Date: *
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