Required Fields = *


IDENTIFYING DATA:
Title of Position Sought*   Date:*
 
First Name* MI* Last Name*
Social Security Number
Address-Number* Street name / Apt #*  
 
City* State* Zip Code*
Home Phone* OR Business / Message Phone *
Drivers License: Is driver's license presently restricted, suspended, or revoked?
If you do not have a driver's license, enter NONE in the Driver's License Field below.
YesNo
If your driver's license is presently restriced, suspended, or revoked, please explain why:  
If you do not have a driver's license, enter NONE in the Driver's License Field below.
Driver's License Number*            Class* State* Expiration Date* Do you currently hold an NC class A or B CDL?
       Yes No
Date Available for Work*:
Type of Position Desired*: Full Time  Part Time  Temporary
Available For*: Shift Work Weekend Work None
For some positions, there are minimum age requirements. Please check the appropriate box:*
under 16 years of age 16-18  18-21 Over 21


EDUCATION:
Choose the highest grade you completed*
1st 2nd 3rd 4th 5th 6th
7th 8th 9th 10th 11th 12th
High school Graduate?*
Yes No            
GED certificate? *
Yes No            
Name and location of high school attended.*
Name(s) and location(s) of Colleges or
Universities attended
Major/Minor Studies Attended From:(mm/yy) Attended To:(mm/yy) Degrees Graduation Date
Professional Certificate of license to the job which you are applying Expiration Date:


SPECIAL TRAINING:

Course Institution Dates Attended From:(mm/yy) Dates Attended To:(mm/yy) Total class hours License or Certificate Issued


Equipment Skills
List any special size and type of equipment you operate, including office, vehicles, construction, etc.:


PERSONAL REFERENCES*
(Do not list Relatives or Employers)
Name Address Occupation Telephone


EXPERIENCE*
List your most recent experience first. Experience may be paid or unpaid, full-time, part-time, or military. Describe all of your work experience thoroughly, indicating how it relates to the position for which you are applying. Include MONTH and YEAR of your beginning and ending dates of employment or experience. Failure to provide complete information may result in disqualification of your application.

RESUME MAY BE ATTACHED AT THE BOTTOM OF THIS APPLICATION TO SUPPLEMENT INFORMATION, BUT MAY NOT SUBSTITUTE FOR COMPLETION OF THIS SECTION.

Dates and Salary
Start Date:(mm/yy)
End Date:(mm/yy)
Starting Salary:
Ending Salary:
Employer
Name:
Address:
Telephone:
Supervisor:
 
Equipment Operated:

May we contact your current employer?*   Yes No
If you answered No, please Explain
Job, Title, Description of Duties, Hours Worked, Reason for Leaving
Title Hours
Duties: Reason for Leaving:


PERSONAL INFORMATION
1.  Are you able to perform the essential functions of the job you have applied for?* Yes No
2.  Are you an American citizen or do you currently have authorization to work in the United States?* Yes No
4.  Have you ever been employed by Estate Landscape & Irrigation Inc.? (if yes, answer below)* Yes No
  Title:     Dates:   to 
5.  Have you been convicted of a felony or had any moving traffic violations within the past two years? Conviction does not necessarily disqualify candidates from employment consideration.
If yes, list date, place, offense, and fine (or sentence) for each instance in the space below. *
Yes No
6.  Are members of your household or relatives currently employed by Estate Landscape & Irrigation Inc.?
(if yes, provide the following information) *
Yes No
  Name:  Relationship:  Dept: 
  Name:  Relationship:  Dept: 
  Explanatory remarks: (Please indicate item numbers to which answers apply:)
 


AUTHORIZATION

I certify that the facts contained in this application are true and complete to the vest of my knowledfe and understand that, if empl0yed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any petinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authoroty to enter into any agreement for employment for specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

 Yes, I agree to the conditions above.
 No, I do not agree to the conditions above.

Date:

You will not be able to submit your application if you do not answer "yes" to these terms and conditions.

 



Recruiting Survey
To insure that we are contacting as many qualified applicants as possible we continually update our recruiting methods. To help us in this attempt please take a few moments to complete the following survey and return it with your completed application. Fill in all that apply
 
How did you initially receive your information concerning employment opportunities with Estate Landscape & Irrigation Inc.?
 Employment Security Commission Posting
 Friend/Relative
 Internet   (Referring Web Site Address:)  
 Newspaper Advertisement     City/Name:   
 Professional Association         Name:         
 Other     
  Todays Date:



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