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.