Vacancy

Application for Employment

    Personal Information

    Date:

    Name *:

    Social Security No.:

    Present Address:

    Permanent Address:

    Phone Number:

    Referred by:

    Email *:

    Employment Desired

    Position:

    Date Available:

    Salary Req.:

    Are you employed:

    If so, may we inquire of your present employer?:

    Ever applied to this company?:

    Where?:

    When?:

    Education

     

    Name & School Location

    *Years Attended

    *Date Graduated

    Area of Study

    Grammar School

    High School

    College

    Trade, Business or Correspond. School

    General

    Subjects of Special Study or Research Work?

    What foreign languages do you speak fluently?

    Read:

    Write:

    U.S. Military Service:

    Rank:

    Member of National Guard/Reserves?

    Special Questions

    Do not answer any of the questions in this framed area unless the employer has checked a box preceding a question, thereby indicating that the information is required for a bona fide occupational qualification, is dictated by National Security Laws, or is needed for other legally permissible reasons.

    Height:

    Feet:

    Inches:

    Other:

    Weight:

    lbs:

    U.S. Citizen:

    US Naturalization Number:

    Date of Birth**:

    Are you Permanent Resident:

    Place of Birth**:

    INS A Number:

    ** The Age Discrimination Act of 1967 prohibits discrimination on the basis of age with respect to individiuals who are at least 40 but less than 70 years of age.

    Physical Record

    Do you have any physical defects that prejudice that preclude you from performing any work for which you are being considered?

    Were you ever injured?

    Give Details:

    Have you any defects in hearing?

    In vision?

    In speech?

    In case of emergency, notify:

    Former Employers

    (List below your last four employers, starting with the most recent one first.)

    Date (M/Y)

    Name, Address& Phone of Employer

    Salary

    Position

    Reason Left

    From

    To

    From

    To

    References

    Name

    Address & Phone

    Business

    Years Known

    Remarks

    To be filled by Eco-Friendly Lawn and Landscaping, LLC

    Appearance:

    Character:

    Personality:

    Ability:

    Hired:

    For Dept:

    Position:

    Will Report:

    Salary/Wages:

    Approved:

    Employment Manager:

    Dept. Head:

    General Manager:

    This form has been designed to comply with State and Federal Fair Employment Practice laws prohibiting discrimination on the basis of an applicant’s sex or minority status. Questions directly or indirectly reflecting such status have been included only where needed to determine a bona fide occupational qualification or for other permissible purposes. Such questions are appropriately noted on the application. Notwithstanding these efforts, the manufacturer of this form assumes no responsibility , and hereby disclaims any liability for inclusion in this form, of any questions upon which a violation of State and Federal Fair Employment Practice laws may be based.

    Please verify below that you are Human

    *=Required