Application for
Employment We are an equal opportunity employer. We
comply with all applicable Federal, State and Local laws concerning
discrimination in employment. No question in this application is intended
to elicit information in violation of any such law nor information
obtained in response to any question be used in violation of any such
law. |
| Positions applied for |
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Application Date |
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| Name |
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| Address |
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| City |
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ST |
Zip |
| Phone |
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Mobile/Beeper |
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| If it is required, can you furnish a work permit?
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Yes
No |
if No, Please Explain |
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| Have you ever been employed here before?
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Yes
No
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Are you legally eligible for employment in this country |
Yes
No
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| Date available for work |
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| Type of employment
desired |
Full Time Part-Time Temporary Seasonal Educational/Co-Op |
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| Driver's license number if driving is an
essential job function |
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State |
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| Work
Experience |
List present and
former employers beginning with the most recent |
| from |
to
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Employer
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phone |
| Job title
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address |
Immediate supervisor title
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Summarize the nature of work
performed and job responsibilities
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Reason for Leaving |
Hourly rate/salary |
Final $ Per Hour Week Month Year |
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| from |
to
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Employer
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phone |
| Job title
|
address |
Immediate supervisor title
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Summarize the nature of work
performed and job responsibilities
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Reason for Leaving |
Hourly rate/salary |
Final $ Per Hour Week Month Year |
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| from |
to
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Employer
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phone |
| Job title
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address |
Immediate supervisor title
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Summarize the nature of work
performed and job responsibilities
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Reason for Leaving |
Hourly rate/salary |
Final $ Per Hour Week Month Year |
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| from |
to
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Employer
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phone |
| Job title
|
address |
Immediate supervisor title
|
Summarize the nature of work
performed and job responsibilities
|
Reason for Leaving |
Hourly rate/salary |
Final $ Per Hour Week Month Year |
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| Skills and
Qualifications |
| Summarize any training skills,
licenses, and/or certifications that may qualify you as being able to
perform job-related functions in the position for which you are applying.
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| Personal References( Not Former
Employers or Relatives) |
| Name |
Phone |
Years Known |
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Additional
Questions |
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| Do you have transportation to
and form work? Yes
No |
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| Do you have a commercial drivers
license? Yes
No |
| What violations are on your
driving record for the last 3 years? List All |
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| Are you available to work 8:00
a.m. to 5:00 p.m. Monday through Friday? Yes
No |
| Are you able to work overtime?
Yes No |
| You will be required to lift
heavy objects. Can you lift 100 lbs waist high? If no, What weight can you
comfortably lift waist high? |
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| Do you have experience building
Boulder retaining walls, timber retaining walls and/or block retaining
walls? If Yes Explain |
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| Do you have experience with
Irrigation? If Yes Explain |
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| Do you have any experience
building patios? If Yes, what type? Please explain |
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| Do you have any experience with
concrete? If Yes Explain |
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| Do you have any experience with
masonry? If Yes Explain |
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| Do you have any experience with
installing swimming pools or spas? If Yes, what type? Explain
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| What types of Landscaping have
you performed? How much experience do you have with each?
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| Do you have any other skills,
such as electrical experience, carpentry experience, or computer aided
design experience? |
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| You will be required to operate
the following machines. Indicate if you have experience operating any,
and/or if there will be a problem with you operating any.
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| Dump Truck |
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Bobcat Uniloader |
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| Trencher |
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Pick-up trucks w/ trailers attached
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| Mini Excavator |
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Saws |
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| Tampers |
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Drills |
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| Auger |
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| Comments: |
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