Application for Employment s45

Application for Employment

An Equal Opportunity Employer

All applicants are considered without regard to race, creed, color, sex, age, marital/veteran status or national origin.

Position applying for: ______

PERSONAL INFORMATION

Legal Name______

Street Address______

City______State______Zip______

Phone: Home______Cell______

Email: ______

Social Security Number______

Date of Birth ______Are you at least 18 years old? ______

Driver's License Number ______State issued______

(If the position requires operation of company vehicle)

Are you legally eligible for work in the US? ______

United States Visa status, if applicable: ______

Have you been convicted of a felony? ______

______

Do you speak English? ______Do you speak Spanish?______

POSITION INFORMATION

Employment requested: Full Time Part-Time Temporary

What hours can you work? ______

If hired, when can you start? ______

How did you hear about this job? ______

Have you previously been employed here at Carolina Creations Landscape, Inc? ______

If yes, please list dates: ______

Landscaping experience: (Please list employer and job duties)

1. ______

2.______

3.______

4.______

Past Employment (please start with the most recent)

Employer______Dates worked______

Duties______Salary______

Employer______Dates worked______

Duties______Salary______

Employer______Dates worked______

Duties______Salary______

Other Experience, Skills, Qualifications:

______

Professional Licenses and Certifications:

______

All of the information provided is correct to the best of my knowledge:

Signature : ______Date:______