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Employment Application

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Name*
First Middle Last
State ID or drivers license number*
What state is your drivers license or ID issued in?*
State
Social Security Number*
Date Of Birth*
Month
Day
Year
Current Address*
Street Address City State ZIP Code
Previous Address*
Street Address City State ZIP Code
Primary Phone*
Secondary Phone
Email Address*

What position would you like to be considered for?*
Would you accept an offer of employment for a different position?*
- Yes
- No
Are you able to perform the essential functions of the position with or without accommodations?*
- Yes
- No
Date you can start*
Salary Desired*
What type of employment would you like?*
- Full-Time
- Part-Time
- I would accept a part or full time position
Are you legally eligible for employment in the United States of America?*
- Yes
- No
If hired, can you furnish proof that you are over 18 years of age?*
- Yes
- No
Are you employed now?*
- Yes
- No
If yes, where?
Can we contact your present employer?*
- Yes
- No
- Not currently employed
Have you ever applied to or worked for Quality Landscaping LLC?*
- Yes
- No
If yes, when?

Do you have any relatives or friends curently working for Quality Landscaping LLC?*
- Yes
- No
If yes, who?
Why do you want to work for Quality Landscaping?*
Tell us about your driving history. Please be detailed.*
Do you use tobacco products? How often?*
When we run a background check on you what will we find?*
Have you served in the United States Armed Forces?*
- Yes
- No
If yes, what branch?
Have you ever pled guilty or "no contest" to, or been convicted of, a misdemeanor or felony?*
- Yes
- No
If yes, give date(s) and details of the incident.
Answering yes to these questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

Education
High School Info
Name of High School*
Address*
City State
# of years completed*
- 1
- 2
- 3
- 4
- 5
- 6
Did you Graduate?*
- Yes
- No
College Info
Name of School (College)
Address
City State
# of years completed
- 1
- 2
- 3
- 4
- 5
- 6
Did you Graduate?
- Yes
- No
Degree Earned
Graduate Info
Name of School (Graduate)
Address
City State
# of years completed
- 1
- 2
- 3
- 4
- 5
- 6
Did you Graduate?
- Yes
- No
Degree Earned
Additional training, skills, experience, and special achievements relevant to position:

Employment: List last employment first.
Employer name
Address
Position Title/Duties
Telephone Number(s)
Supervisor
Dates Employed (FROM)
Dates Employed (TO)
Reason for Leaving
Employment History Info
Employer name
Address
Position Title/Duties
Telephone Number(s)
Supervisor
Dates Employed (FROM)
MM slash DD slash YYYY
Dates Employed (TO)
MM slash DD slash YYYY
Reason for Leaving
Additional Employment Info
Employer name
Address
Position Title/Duties
Telephone Number(s)
Supervisor
Dates Employed (FROM)
MM slash DD slash YYYY
Dates Employed (TO)
MM slash DD slash YYYY
Reason for Leaving
Have you ever been terminated or asked to resign from any job? If yes, please explain in detail:
Do you have adequate transportation to and from work?*
- Yes
- No
What types of computers, equipment, and machines do you have experience operating?
What professional licenses, certifications or registrations do you have?

References: Please list work related references only
Name
City, State
Daytime Phone Number
This application will be considered active for a maximum thirty (30) days. If you wish to be considered for employment after that time, you must reapply.
Please agree to the following.*
- I attest that all information provided herein is true. Any false information is grounds for immediate termination without notice.
- I understand that Quality Landscaping LLC conducts Drug testing to all applicants as a condition of employent
- I consent to a criminal background check as required by this employer as a condition for employment.
Type Full Name Confirming Your Compliance With The Above Statements*

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Contact Info

127 Peachtree Pkwy
Suite 702
Byron GA 31008

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