Employment Application

Full Name:____________________________Date of Application:______________

Address:______________________________City:__________________________

State:___________Zip:_____________Phone Number:______________________

Social Security Number:_________________Are you a U.S. Citizen?  Yes  No

If no, do you have work papers?________________________________________

 

Type of Employment:

 

[  ] Seasonal             [  ] Temporary                  [  ] Permanent

 

[  ] Full Time             [  ] Part Time

 

Days Available:_________________________Hours Available:________________

 

Education:

 

Enter the number of years completed:

High School:___________College:______________Tech School:______________

Other Training/Skills:__________________________________________________

___________________________________________________________________

 

Previous Employment:

 

Most Recent:

Company:__________________________Nature of Business:________________

Address:____________________________________________________________

Supervisor:_______________________Phone Number:______________________

Dates Employed:__________to:___________Wages:_____________________________

Position(s) Held:______________________Reason for leaving:________________

 

Previous Employer:

Company:__________________________Nature of Business:_________________

Address:____________________________________________________________

Supervisor:_______________________Phone Number:______________________

Dates Employed:_________to:____________Wages:_____________________________

Position(s) Held:______________________Reasons for leaving:_______________

*Please fill out reverse side.

 

References:

 

Please furnish the names of two people to whom you are not related, and to whom you have not been employed.

 

(1) Name:___________________________Phone Number:___________________

Address:____________________________________________________________

 

(2) Name:___________________________Phone Number:___________________

Address:____________________________________________________________

 

Who referred you to Tesch Landscaping?_________________________________

 

Summarize your special skills or qualifications:_____________________________

___________________________________________________________________

___________________________________________________________________

 

 

     I certify that my answers are true and complete to the best of my knowledge.

 

     I authorize, Tesch Landscaping, to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision.  I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application.

 

     In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

 

Signature of Applicant:_____________________________Date:______________