Name *
Name
Date *
Date
Address
Address
Phone *
Phone
Address of High School
Address of High School
Address of College
Address of College
Location of Bus. or Trade School
Location of Bus. or Trade School
Location of Professional School
Location of Professional School
Drivers License Expiration Date
Drivers License Expiration Date
*OFFICE ONLY: Only fill out if you are applying for office related position*
*OFFICE ONLY: Only fill out if you are applying for office related position*
*OFFICE ONLY: Only fill out if you are applying for office related position*
*OFFICE ONLY: Only fill out if you are applying for office related position*
*OFFICE ONLY: Only fill out if you are applying for office related position*
*OFFICE ONLY: Only fill out if you are applying for office related position*
Please list two references
Reference 1
Reference 1
Address
Address
Telephone
Telephone
Reference 2
Reference 2
Address
Address
Telephone
Telephone
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. Attach additional sheets if necessary.
Job One
Name of Last Supervisor
Name of Last Supervisor
Employment Dates (Begin)
Employment Dates (Begin)
Employment Dates (End)
Employment Dates (End)
$
$
Employer Address
Employer Address
Employer Phone Number
Employer Phone Number
Job Two
Name of Last Supervisor
Name of Last Supervisor
Employment Dates (Begin)
Employment Dates (Begin)
Employment Dates (End)
Employment Dates (End)
$
$
Employer Address
Employer Address
Employer Phone Number
Employer Phone Number
Job 3
Name of Last Supervisor
Name of Last Supervisor
Employment Dates (Begin)
Employment Dates (Begin)
Employment Dates (End)
Employment Dates (End)
$
$
Employer Address
Employer Address
Employer Phone Number
Employer Phone Number
Job related questions
Are you a US Citizen?
If not, do you have a green card?
Are you able to lift heavy loads up to 80 lbs:
Are you willing to put in extra hours to complete a job:
Do you have any prior experience driving a skid loader:
Do you have any prior experience driving any other heavy equipment:
APPLICATION FORM WAIVER (Please Read Carefully)
In exchange for the consideration of my job application by Blakeborough Hardscapes, LLC (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 Blakeborough Hardscapes, LLC, 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 President /General Manager of the Company. Both the undersigned and Blakeborough Hardscapes, LLC 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 pre-employment testing as well as 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 understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of sixty (60) 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.
Todays Date
Todays Date
Thank you for completing this application form and for your interest in our business
This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.