THOMPSON LANDSCAPE COMPANY - Elkhart, IndianaLandscape design, construction, hardscape, maintenanceMichiana Landscape, Elkhart, Mishawaka, South Bend, Granger, Bristol, Michigan

EMPLOYMENT APPLICATION

Please fill out the employment application completely.

GENERAL INFORMATION
First Name: Middle: Last:
Telephone Home: Cell: Social Security Number:
Address:
City: State: Zip Code:
Position applying for: Date available:
Name of referral source: Wages or salary expected:
Do you have reliable means of transportation?
Are any of your relatives employed by this company?
If yes, please list name and relationship:
Are you under the age of 18? Are you under the age of 16?
Have you ever been convicted of a crime (excluding misdemeanors)?
If yes, please explain fully:
Your email address:
NOTE: Conviction will not necessarily disqualify applicant from employment.

EDUCATION AND TRAINING
Name and location of high school:
Did you graduate? If no, last grade completed:
 
Name and location of college/votech:
Did you graduate? Type of degree:
Other skills or training:

DRIVING RECORD
How would you rate your driving record?
Has your license ever been suspended? If yes, why?
Drivers License #: State:

REFERENCES
(Please list professional associates who could be contacted for an employment reference.)
Name: Phone:
Occupation: Employer:
Name: Phone:
Occupation: Employer:

WORK EXPERIENCE (Begin with last employer first)
Please cover employment for the past 5 years, including military service. (Active/Reserve)
Employer name: Phone:
Employer address:
Dates of employment: From: To: Pay rate:
Title/Position held:
Name and Title of Supervisor:
Description of responsibilities:
Reason for leaving:
 
Employer name: Phone:
Employer address:
Dates of employment: From: To: Pay rate:
Title/Position held:
Name and Title of Supervisor:
Description of responsibilities:
Reason for leaving:
 
Employer name: Phone:
Employer address:
Dates of employment: From: To: Pay rate:
Title/Position held:
Name and Title of Supervisor:
Description of responsibilities:
Reason for leaving:

PLEASE READ THE STATEMENT BELOW CAREFULLY.

I understand that any employment with Thompson Landscape is voluntarily entered into and, if employed, I may resign at any time for any reason. Similarly, Thompson Landscape may terminate the employment at any time for any reason.

I authorize the investigation of all statements contained in this application and further authorize Thompson Landscape to contact my past employers. My present employer be contacted. I certify that all statements and information is true and acknowledge that any falsification of these facts is cause for separation from Thompson Landscape.

I understand that any offer of employment made to me by Thompson Landscape may be made contingent upon taking a medical exam and drug test.

Your email address is your signature: Date:

(c)2007 Thompson Landscape Company.
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