Employment Application

Employment Application

We are an equal opportunity employer. Applicants will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to the hiring process, services, and employment is available to all individuals.

Each question should be answered completely and accurately.

No action will be taken on this application until all questions have been answered and the application has been signed and dated. Verification of eligibility to work in the U.S. will be required if an employment offer is made.

Position Applying For

Date available for work*

MonthDayYear

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Confirmation Email

Date of Birth*

Social Security No.*

Desired Salary*

Are you over the age of 18?*

YESNO

Are you eligible to work in the United States?*

YESNO

Have you ever been convicted of a felony?*

YESNO

If so, when?

Month

day

Year

If so, provide the location, date and result/outcome for each conviction:*

Do you have a valid driver's license*

YESNO

What State are you licensed in?*

Are you available to work?*

Full timePart timeShift workTemporary

Have you applied here before?*

YESNO

Have you ever worked for TLC Lawn Care Inc?*

YESNO

If yes, when?*

Do you know anyone who works for TLC? *

If yes, who?*

EDUCATION

Highest level of education completed:*

Please complete the appropriate sections

	Name & Location of School	Number of Years Attended	Did You Graduate?	Degree or Certification
GED / High School
Trade School
College
Graduate

WORK HISTORY

Please list your four most recent employers, list the most recent first

1. Employer

Most recent place of employment?*

Address & location of business*

Your title*

Supervisor's name*

First and Last Name

Phone number*

Area CodePhone Number

Start date*

MonthDayYear

End date*

MonthDayYear

Wages START:*

Salary or Hourly*

Wages END:*

Salary or Hourly*

Work performed:*

Reason for leaving*

May we contact this employer?*

YESNO

2. Employer

Second most recent place of employment?*

Address & location of business*

Your title*

Supervisor's name*

First and Last Name

Phone number*

Area CodePhone Number

Start date*

MonthDayYear

End date*

MonthDayYear

Wages START:*

Salary or Hourly*

Wages END:*

Salary or Hourly*

Work performed:*

Reason for leaving*

May we contact this employer?*

YESNO

3. Employer

Third most recent employer?*

Address & location of business*

Your title*

Supervisor's name*

First and Last Name

Phone number*

Area CodePhone Number

Start date*

MonthDayYear

End date*

MonthDayYear

Wages START:*

Salary or Hourly*

Wages END:*

Salary or Hourly*

Work performed:*

Reason for leaving*

May we contact this employer?*

YESNO

REFERENCES

List three references, (business, work, or friend) that you have known for at least one year.

1. Full Name*

First NameLast Name

Relationship*

Best phone number to reach them*

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

2. Full Name*

First NameLast Name

Relationship*

Best phone number to reach them*

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3. Full Name*

First NameLast Name

Relationship*

Best phone number to reach them*

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Disclaimer and Signature

I understand that TLC Lawn Care, Inc. is making no employment offer at this time. I certify that the information in this application is correct to the best of my knowledge. I understand that any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews is grounds for disqualification from further consideration for employment or for termination, if employed.

I authorize TLC Lawn Care, Inc. to contact any company, institution, or individual it deems appropriate to investigate my employment history, character, qualifications, credit history, driving record, and other relevant information, if job-related. I give my full consent for all contacted individuals, including former employers, to provide information concerning this application, and I waive my right to bring any cause of action against these individuals for any and all liability for damages arising from furnishing the requested information to TLC Lawn Care, Inc.. I acknowledge that a facsimile and/or photocopy of this form is as valid as the original.

Pre-employment testing may be required (drug testing, background checks, physical examinations, motor vehicle checks).Testing may be applicant or employer paid based on the employer.I understand that any offer of employment may be withdrawn if drug tests are positive and/or if a condition is discovered for which no reasonable accommodation can be made.

I understand that this application is current for 90 days. At the conclusion of this time, if I have not heard from TLC Lawn Care, Inc. and still wish to be considered for employment, it will be necessary to complete a new application.

I understand that neither the completion of this application nor any other part of my considertion for employment establishes any obligation for TLC Lawn Care, Inc. to hire me. If I am hired, I understand that my employment is at-will and either TLC Lawn Care, Inc. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of TLC Lawn Care, Inc. has the authority to make any assurance to the contrary.

By entering your name, you agree to accept the terms of the above document with an electronic signature.*

I agreeI do not agree

You must agree to accept the terms of the document in order to submit an application.

Type signature*

Date*

MonthDayYear

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