Employment Application

Position Sought

How did you learn of this position?

Today's Date *

First Name *

Last Name *

Address: *

City *

State *

Zip Code *

Email Address *

Contact Phone Number *

Work Phone Number

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

Do you have a valid drivers license? *YesNo

Education

High School

High School Name *

High School Location *

Dates Attended: *

Did You Graduate High School? *YesNo

College

Did You Go to College? *YesNo

College Name

College Location

Dates Attended College

College Degree Received

List Any Additional Majors

Other School

Any Additional Schooling? *YesNo

School Name

School Location

Years Attended

Degree Received

Additional Info

List skills pertinent to this job0 / 600

Employment History

Employer #1

(Start with Most Recent Employer First)

Employer *

Job Title *

Dates Employed *

Prior position Held with Company (if any)

Address

Phone *

Supervisor

Duties Performed *

Reason For Leaving: *

Employer #2

Employer

Job Title

Dates Employed

Prior position Held with Company (if any)

Address

Phone

Supervisor

Duties Performed

Reason For Leaving:

Employer #3

Employer

Job Title

Dates Employed

Prior position Held with Company (if any)

Address

Phone

Supervisor

Duties Performed

Reason For Leaving:

References

Three Professional References

Professional Reference #1

Name *

Company Name *

Title *

Phone(s) *

Professional Reference #2

Name *

Company Name *

Title *

Phone(s) *

Professional Reference #3

Name *

Company Name *

Title *

Phone(s) *

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for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me.

I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of the company or myself.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

Please Acknowledge and Agree to the Above *I Agree

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