Employment Application | Complete Lawn Care Tulsa suzm

Employment Application

Personal Information

Last First
MI SSN#
Email Street Address
City ST
Zip Home Phone
Mobile Phone
Are you entitled to work in the United States?  yes no
Are you 18 or older?  yes no
If yes, Date of Birth
Have you been convicted of a felony or been incarcerated in connection with a felony in the past seven years?  yes no
If yes, please explain:
Military Service?  yes no
Branch
Are you a veteran?  yes no
War
What position are you applying for?
How did you hear about this position?
Expected Hourly Rate
Expected Weekly Earnings
Date Available

Prior Work Experience

Current or Most Recent Prior Prior
Employer
Address
City, ST, ZIP
Telephone
Name of Immediate Supervisor
Dates of Employment
Position/Job Title
Pay
Reason for Leaving
May We Contact

Education

Name/Location Last Year Complete Degree Major or Emphasis
High School
College/University
Trade School
Other
List any applicable special skills, training or proficiencies.

Personal References

Reference 1 Reference 2 Reference 3
Name
Address
City, ST, ZIP
Telephone
Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records. Signature Date

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