Employment Application

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POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.

Position Sought:*

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How did you learn of this position?*

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Today's Date: (mm/dd/yyyy)*

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First Name:*

Please let us know your name.

Last Name:*

Please let us know your name.

Address:*

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City:*

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State:*

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Zip Code:*

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Home Number:*

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Work Number:

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Cell Number:

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Your Email:

Please let us know your email address.

Are you legally eligible to work in the U.S.?*

Yes

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Education

High School

High School Name:*

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High School Location:*

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Dates Attended:*

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Did You Graduate High School?*

Yes

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College

Did You Go to College?*

Yes

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College Name:

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College Location:

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Dates Attended College:

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College Degree Received:

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List Any Additional Majors:

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Other School

Any Additional Schooling?*

Yes

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School Name:

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School Location:

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Years Attended:

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Degree Received:

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Additional Info

List skills pertinent to this job:

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i.e. can operate lawn mower, heavy equipment, etc.

Do you have a valid drivers license?*

Yes

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Employment History

Employer #1

(Start with Most Recent Employer First)

Employer:*

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Job Title:*

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Dates Employed:*

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Prior position Held with Company (if any):

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Address:

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Phone:*

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Supervisor:

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Duties Performed:*

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Reason For Leaving:*

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Employer #2

Employer:

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Job Title:

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Dates Employed:

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Prior position Held with Company (if any):

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Address:

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Phone:

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Supervisor:

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Duties Performed:

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Reason For Leaving:

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Employer #3

Employer:

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Job Title:

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Dates Employed:

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Prior position Held with Company (if any):

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Address:

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Phone:

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Supervisor:

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Duties Performed:

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Reason For Leaving:

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References

Three Professional References

Professional Reference #1

Name:*

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Company Name:*

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Title:*

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Phone(s):*

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Professional Reference #2

Name:*

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Company Name:*

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Title:*

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Phone(s):*

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Professional Reference #3

Name:*

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Company Name:*

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Title:*

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Phone(s):*

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Acknowledgement and Authorization

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired.

I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information.

In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me.

I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.

SMG Landscapes is a drug and alcohol free workplace and you may be drug tested at any time. Signing this indicates your drug-free status and willingness to submit to a drug test at any time during your employment.

Name:*

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Date:*

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Please Acknowledge and Agree to the Above:*

I Agree

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For A Quick and Simple Estimate,

Call Us Today! (907) 333-4413

Call Us Today! (907) 333-4413

For A Quick and Simple Estimate

Call Us Today! (907) 333-4413