Employment Application | Kent Landscaping

Application for Employment

Pre-employment questionnaire | An equal opportunity employer

Step 1 of 6

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Personal Information

Full Legal Name(Required)

First Last

Social Security Number(Required)

Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number(Required)

Are you 18 yrs. or older?(Required)

Yes

Are you prevented from lawfully becoming employed in this country because of visa or immigration status?(Required)

If yes, please explain below.

Yes

Please explain:(Required)

Do you have a valid driver's license?(Required)

Yes

If hired, are you willing to submit to and pass a controlled substance test?(Required)

Yes

Have you ever applied to/ worked for Kent Landscaping before?(Required)

Yes

If above is "yes", please provide an approximate date:(Required)

Month

Day

Year

Do you have any friends, relatives, or acquaintances working for Kent Landscaping?(Required)

Yes

If above is "yes", please state name & relationship:(Required)

Employment Desired

Position(s) applying for:(Required)

Date you can start:

MM slash DD slash YYYY

Are you applying for:(Required)

Temporary work (summer or fall)

Regular part-time work

Regular full-time work

Available to work:

Weekends

Evenings

Overtime

What days and hours are you available for work?

Please indicate what hours you are available for work each day of the week. If not available on a specific day, please leave that day blank.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Are you currently employed?(Required)

Yes

If yes, may we contact your present employer?(Required)

Yes

Education, Training & Experience

Select any/all attended:(Required)

High School

College

Vocational, Trade or Business School

Other

High School Education

Please provide the information below:(Required)

Please provide the information below:

Name of High School

Location

Years Attended

Graduated? (Y/N)

Degree/Diploma

Have an additional high school to add?(Required)

Yes

Please provide the information below:

Name of High School

Location

Years Attended

Graduated? (Y/N)

Degree/Diploma

College Education

Please provide the information below:(Required)

Please provide the information below:

Name of College

Location

Years Attended

Graduated? (Y/N)

Degree/Diploma

Have an additional college to add?(Required)

Yes

Please provide the information below:

Name of College

Location

Years Attended

Graduated? (Y/N)

Degree/Diploma

Vocational/Trade/Business School Education

Please provide the information below:(Required)

Please provide the information below:

Name of School

Location

Years Attended

Graduated? (Y/N)

Degree/Diploma

Have an additional school to add?(Required)

Yes

Please provide the information below:

Name of School

Location

Years Attended

Graduated? (Y/N)

Degree/Diploma

Other Education and Training

Please list any other education aside from high school, college or trade school:(Required)

Please list any other education aside from high school, college or trade school:

General

Subjects of special study or research work:

Special skills and/or driver endorsements (CDL's):

U.S. Military or Naval Service

Please provide the information below:

Skills/Duties

Rank

Years of Service

Background

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Have you ever been convicted of a criminal offense (felony or misdemeanor)?(Required)

Yes

Do you have any pending convictions or criminal offenses?(Required)

Yes

Description(Required)

If yes, please describe the crime - state the nature of the crime(s), when and where convicted and disposition of the case:

Former Employers

(List below your last three employers, starting with most recent first.)

Current/Most Recent Employer

Start Date (MM/YYYY)

End Date (MM/YYYY)

Employer Name & Phone Number

Position

Salary

Reason for Leaving

Former Employer

Start Date (MM/YYYY)

End Date (MM/YYYY)

Employer Name & Phone Number

Position

Salary

Reason for Leaving

Former Employer

Start Date (MM/YYYY)

End Date (MM/YYYY)

Employer Name & Phone Number

Position

Salary

Reason for Leaving

References

List 3 persons not related to you, whom you have known at least 1 year.

Reference #1(Required)

Name

Address/Phone

Business/Occupation

Years Acquainted

Reference #2(Required)

Name

Address/Phone

Business/Occupation

Years Acquainted

Reference #3(Required)

Name

Address/Phone

Business/Occupation

Years Acquainted

Application Submission

Agreement(Required)

Please check the box below.

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

Signature(Required)

Please type your full name.

Today's Date(Required)

MM slash DD slash YYYY

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