Employment | Wheeler's Landscaping

Application For Employment

We are an equal opportunity employer. We comply with all applicable Federal, State, and Local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such law.

Position(s) applied for *

Date of Application *

Name *

Address *

Phone *

Mobile/Other Phone

Social Security # *

What is your desired wage per hour?

If you are under 18, and it is required, can you furnish a work permit?

Yes

If no, please explain

Have you ever been employed here before?

Yes

Are you legally eligible for employment in this country?

Yes

Date available for work

Type of employment desired

Full-Time

Part-Time

Temporary

Seasonal

Educational/Co-Op

Are you able to meet the attendance requirements for this position?

Yes

Have you been convicted of a crime in the last 7 years?

Yes

If yes, please explain

Driver's license number if driving is an essential job function

State

Work Experience

From

Employer

Phone

Job Title

Address

Immediate Supervisor and Title

Summarize the nature of the work perfomed and job responsibilites

Reason for leaving

Hourly Rate/Salary

Per

Hour

Week

Month

Year

From

Employer

Phone

Job Title

Address

Immediate Supervisor and Title

Summarize the nature of the work perfomed and job responsibilites

Reason for leaving

Hourly Rate/Salary

Per

Hour

Week

Month

Year

From

Employer

Phone

Job Title

Address

Immediate Supervisor and Title

Summarize the nature of the work perfomed and job responsibilites

Reason for leaving

Hourly Rate/Salary

Per

Hour

Week

Month

Year

From

Employer

Phone

Job Title

Address

Immediate Supervisor and Title

Summarize the nature of the work perfomed and job responsibilites

Reason for leaving

Hourly Rate/Salary

Per

Hour

Week

Month

Year

Skills and Qualifications

Summary of skills

Record Of Education (if job related)

High School (name & location)

Years Completed

Did You Graduate?

Course Of Study

College

Years Completed

Did You Graduate?

Course Of Study

Other

Years Completed

Did You Graduate?

Course Of Study

Personal References

Reference Name

Reference Phone

Reference Years Known

Reference Name

Reference Phone

Reference Years Known

Reference Name

Reference Phone

Reference Years Known

Do you have any prior injuries that could keep you from doing this line of work (i.e. back, knee, leg, arm, shoulder)?

Yes

reCAPTCHA

To be completed by all applicants - Please read carefully before signing

I certify that the information contained in this application and in any resume provided by me or any party representing my interests is correct and complete to the best of my knowledge. I understnad that any false statements, misrepresentations or omissions made by me on this application or any supplement thereto, will be sufficient grounds for rejection of this application or discharge after employment.

I give the employer the right to obtain pertinent information concerning me from former employers and others, and I release all those providing or requesting such information from any liability that may arise by truthful disclosures or such investigations.

If I am hired, I understand that I am free to resign at any time, with or without cause and without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer.

I understand it is the company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

I also understand that if I'm hired, I will be required to provide proof of identity and legal work authorization.

By clicking submit, you acknowledge you have read and agree to the material above.