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:_____________