Application for Employment

Personal Information

Name:    Date of Birth (MM/DD/YY)

Address:  Street, City, Zip 

Home Phone:       Cell Phone:

Email Address:     

Have you been convicted of a felony in the past 5 years? Select One Yes No

How did you hear about us?

Employment Information and Work History

Are you eligible to work the U.S.? Select One Yes No

Date you can start work:   Type of work desired: Select One Full Time Part Time Any

If needed, can you work on Saturday? Select One Yes No

Do you have a valid Michigan driver's license? Select One Yes No

Have you had any accidents in the past 3 years? Select One Yes No

Current or most recent employer:

Company Name   Phone

 Supervisor    Employed from to

Job Title   Reason for leaving

-------------------------------------------------------------------------------------

Previous Employer:

Company Name   Phone

 Supervisor    Employed from to

Job Title   Reason for leaving

-------------------------------------------------------------------------------------

Previous Employer:

Company Name   Phone

 Supervisor    Employed from to

Job Title   Reason for leaving

-------------------------------------------------------------------------------------

Skills and Experience

Do you have professional lawn care experience? Select One No Less than 1 year 1 year 2 years More than 2 years 5 years or more

Do you have experience with any of the following: (select all that apply)

Lawn Mowing   Edging    Trimming    Landscaping

Commercial Lawn Equipment  Towing a Trailer

Additional Information

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the position for which you are applying. (This section is optional, but recommended.)