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Employment Application
* = required
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| Name:* |
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Date:* |
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| Phone:* |
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Address: |
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| Email:* |
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City, State: |
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| Reenter
Email:* |
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Referred By: |
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| Position Applying
for : |
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Wage Desired: |
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| Date Available
to Start: |
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Available: |
Full-Time
Part-Time |
During our peak season it may be required that you work 50 hours or
more per week and weekends. It is essential to our business and may
commonly occur. Can you normally work these hours?
Yes
No
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Some positions in the company may include physically demanding
work. It may include heavy lifting, bending, and working in unfavorable
weather conditions. Are You willing to perform these tasks?
Yes
No
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Are there any accommodations you need to perform these
tasks? If so, please list:
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| Driving may be a requirement of this job.
Do you have: |
Drivers License?
Yes
No
CDL License?
Yes
No
If so, what class?
A
B
C
Have you ever had it revoked?
Yes
No
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Can you submit documents of proof that you are eligible to work in the
U.S.?
Yes
No
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We require pre-employment and random drug testing as part
of employment with D & S Lawn Management. Will you, at our request, be willing to submit
to pre-employment drug testing?
Yes
No
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Have you ever been convicted of a felony?
Yes
No
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If so, please describe the disposition of the case:
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List any heavy-equipment experience you may have:
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Prior Work History
starting with most recent
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Previous Employer #1
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| Company Name: |
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Worked From: |
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| Address: |
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Worked To: |
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| Phone: |
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Wage Beginning: |
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| Supervisor: |
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Wage Ending: |
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| Work Performed: |
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| Reason for
Leaving: |
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Previous Employer #2
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| Company Name: |
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Worked From: |
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| Address: |
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Worked To: |
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| Phone: |
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Wage Beginning: |
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| Supervisor: |
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Wage Ending: |
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| Work Performed: |
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| Reason for
Leaving: |
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Previous Employer #3
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| Company Name: |
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Worked From: |
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| Address: |
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Worked To: |
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| Phone: |
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Wage Beginning: |
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| Supervisor: |
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Wage Ending: |
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| Work Performed: |
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| Reason for
Leaving: |
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Additional Information:
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D & S Lawn Management, LLC enforces a policy of Equal
Opportunity in all of its employment practices and personnel actions.
No applicant or employee shall be discriminated against due to their
race, creed, color, religion, sex, sexual orientation, national origin,
ancestry, age, disability or veteran status; all employment decisions
will be based upon skill, qualifications and abilities.
I agree that all information I have submitted is true and correct
to the best of my knowledge, and I understand that applying for a
position at D & S Lawn Management, LLC is in no way a
contract for employment.
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