Application for Employment

LAMMSCAPES! Application for Employment

Personal Information

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Referred By

Employment Desired

Position Applying For *

Date Available

Salary Desired

Are you currently employed?

Yes
No

If yes, may we contact your employer?

Have you ever applied to this company before?

Yes
No

If yes, when?

Education

High School Name

High School Address

Address Line 1

City

State

Zip Code

Did you graduate high school?

Yes
No

College Name

College Address

Address Line 1

City

State

Zip Code

Did you graduate college?

Yes
No

If yes, what was your degree?

Other

Other address

Address Line 1

City

State

Zip Code

Did you graduate other?

Yes
No

If yes, what was your degree?

Subjects of special study or research

Special training and/or certifications

Have you ever been convicted of a crime?

No
Yes

If yes, explain the number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/where committed, sentence(s) imposed, and type(s) of rehabiliation.

Employment History

Please list your last four employers, starting with present or most recent.

1 - Employer Name

1 - Employer Address

Address Line 1

City

State

Zip Code

1 - Employer Phone

2 - Employer Name

2 - Employer Address

Address Line 1

City

State

Zip Code

2 - Employer Phone

3 - Employer Name

3 - Employer Address

Address Line 1

City

State

Zip Code

3 - Employer Phone

References

1 - Reference Name

1 - Reference Address

Address Line 1

City

State

Zip Code

1 - Reference Phone

2 - Reference Name

2 - Reference Address

Address Line 1

City

State

Zip Code

2 - Reference Phone

3 - Reference Name

3 - Reference Address

Address Line 1

City

State

Zip Code

3 - Reference Phone

Do you have a current driver's license?

Yes
No

What is your means of transportation to work?

Driver's License #

State of Issue

CDL

How you had any accidents during the past three years?

If yes, how many accidents?

Have you had any moving violations during the past three years?

If yes, how many moving violations?

In Case of Emergency, Notify

Emergency Contact Name *

First

Last

Emergency Contact Address *

Address Line 1

City

State

Zip Code

Emergency Contact Phone *

Applicants may be tested for illegal drugs

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without previous notice.

Signature *

Date Signed *

Cover Letter, Resume and/or References (optional)

Click or drag files to this area to upload. You can upload up to 3 files.

Landscape Contractors / Nursery / Garden Center / Maintenance

2708 Sherman Road, Jackson, Wisconsin 53037-9794 • Phone 262-677-3010 • Fax 262-677-0505 • www.lammscape.com