Employment Application Form

 

PLEASE COMPLETE ALL SECTIONS

Date: _______________________________________

 

Name: __________________________________________________________________________________________________________

                                             Last                                                                 First                                                                 Middle

 

Present address: _____________________________________________________________________________________________________________

                               Number                                                           Street                                       City                                           State                             Zip

 

Date of Birth: _______________________________

 

Social Security No.: ______ –  _____  –  _________

 

Telephone: _________________________________________

Alt. Phone: __________________________________________

 


Position applied for:________________________________

 

Salary desired: ___________________________________

 

Days/hours available to work:

No Pref _________  MONDAY ___________ TUESDAY ___________  WEDNESDAY ____________ THURSDAY ____________  FRIDAY ____________

 

SATURDAY ___________   SUNDAY ___________

 

Employment desired:                FULL-TIME ONLY             PART-TIME ONLY             FULL- OR PART-TIME

 

When available for work?___________________           

 

Are you a citizen of the United States?  Yes    No        If no, are you authorized to work in the U.S.?  Yes    No     

 

Education

 

High School attended:

High School?

Did you graduate? Yes  No

 

College / University:

 

Did you graduate? Yes   No

Business / Trade School:

 

Did you graduate? Yes   No

 

Other (specify):

________________________________________________________________________________________________

 

Criminal Record

 

HAVE YOU EVER BEEN CONVICTED OF A CRIME?  No                      Yes

 

If yes, explain number of  conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:    

 

 

 

 

 

 

    

 

Driving Record

 

DO YOU HAVE A VALID DRIVER’S LICENSE?         Yes     No

     

Are you proficient at pulling a trailer?        Yes    No      Somewhat

 

What is your means of transportation to work? __________________________________________________________________________

 

Driver’s license number: _________________________________  State of issue  _______        Operator     Commercial (CDL)    

 

Expiration date: ___________________________

 

Have you had any accidents during the past three years?        Yes     No 

    

How many? ______________________

 

Have you had any moving violations during the past three years?       Yes      No 

     

How Many? ______________________

 

Landscape Experience

 

Describe landscaping experience  (i.e. lawn installations, irrigation, maintenance, pruning, planting, retaining walls, fence installation, water features, etc.):

 

 

 

 

 

 

 

Describe equipment you are familiar with:

 

 

 

 

 

Work Experience

Please list your work experience for the past five years beginning with your most recent job held.


If you were self-employed, give firm name. 

 

Name of employer:


Address:

Name of last supervisor:

Employment dates:

Hourly or salary:

City, State, Zip Code:
 

Phone number:

Start Date:

End Date:

Starting Pay:

Final Pay:

 

 

Your last job title:

Reason for leaving (be specific):

 

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

 

 

_____________________________________________________________________________________________________________

Name of employer:


Address:

Name of last supervisor:

Employment dates:

Hourly or salary:

 

City, State, Zip Code:
 

Phone number:

 

Start Date:

End Date:

Starting Pay:

Final Pay:

 

 

Your last job title:

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

 

 

 

__________________________________________________________________________________________________________

Name of employer:


Address:

Name of last supervisor:

Employment dates:

Hourly or salary:

City, State, Zip Code:


Phone number:

Start Date:

End Date:

 

Starting Pay:

Final Pay:

 

 

Your last job title:

Reason for leaving (be specific):

 

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

 

 

 

 

May we contact your present employer (if applicable)? Yes     No

 

 

 

References

 

Full Name:

Company:

Position:

Relationship:

Phone:

 

 

_______________________________________________________________________________________________________

 

 

 

Full Name:

Company:

Position:

Relationship:

Phone:

 

 

 

______________________________________________________________________________________________________

 

 

 

Full Name:

Company:

Position:

Relationship:

Phone:

 

 

 

 

 

 

PLEASE READ CAREFULLY

APPLICATION FORM WAIVER

In exchange for the consideration of my job application by AMO Enterprises (hereinafter called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of AMO Enterprises or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the owner of the Company.  Both the undersigned and AMO Enterprises may end the employment relationship at any time, without specified notice or reason.  If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application.  I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. 

 

I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I also understand that (1) the Company has a drug and alcohol policy that provides for possible pre-employment testing as well as random and /or periodic testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy.  I further understand that continued employment may be based on the successful passing of job-related physical examinations.

I further understand that my employment with the Company shall be probationary for a period of thirty (30) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

Signature of applicant__________________________________________ Date: ___________________

This Company is an equal employment opportunity employer.  We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability.  We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business.