Name
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First Name
Last Name
Email
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Phone
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(###)
###
####
Mailing Address
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Are you legally eligible to work in the U.S.?
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Yes
No
Are you willing to submit to a drug screen test and criminal background check?
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Yes
No
Can we depend on you to be at work on time to meet the requirements of your scheduled assignments?
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Yes
No
Position For Which You Are Applying
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Are you able to perform the essential duties of the position with or without accommodation?
Yes
No
How many hours can you work weekly?
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Which days and hours are you available to work?
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Salary Desired (Please be specific)
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Can you work nights?
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Yes
No
Employment Desired
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Full Time Only
Part Time Only
Full or Part Time
When will you be available to work?
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If required for the position, do you have a valid, unrestricted driver's license?
Yes
No
If driving a Company vehicle is required for the position, are you willing to provide us with a current driving records and a full description of any motor vehicle accidents within the last three years?
Yes
No
Name of high school, address, and number of years completed.
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Name of college, address, number of years completed, and major/degree/certification.
Name of business or trade school, address, number of years completed, and major/degree/certification.
May we contact your current employer?
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Yes
No
Name of Employer, address, job title, employment dates, pay/salary, reason for leaving, and list of duties performed and skills used.
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Name of Employer, address, job title, employment dates, pay/salary, reason for leaving, and list of duties performed and skills used.
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Name of Employer, address, job title, employment dates, pay/salary, reason for leaving, and list of duties performed and skills used.
List special skills, abilities, or honors, as well as types of computer technology and equipment you are qualified to operate, and any professional licenses, certifications, or registrations.
Provide two employment references. List name, title, company, and phone number.
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Provide two personal references other than relatives or prior employers. List name, relationship, address, and phone number.
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I certify that all the information on this application, and any other documents provided or statements made, are accurate and complete to the best of my knowledge. I understand that false and misleading information will constitute sufficient cause for refusal to hire or termination of employment. I understand that if I accept employment with Schultz Lawnscapes, it will be on an at-will basis. This means the Schultz Lawnscapes or I have the right to terminate the employment relationship at any time, for any reason or no reason, with or without cause.
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Yes
No
I agree to submit to drug and alcohol testing if requested by Schultz Lawnscapes. I release Schultz Lawnscapes and its employees, and other persons or companies involved in the testing, from any and all liability arising out of or related in any way to such testing.
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Yes
No
I authorize Schultz Lawnscapes to investigate information concerning my education, employment experience, and all other aspects of my background, including criminal convictions, relevant to my proposed employment. I release Schultz Lawnscapes, its employees and other persons or companies involved in the investigation, from any and all liability arising out of such investigation.
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I agree
I do not agree
Schultz Lawnscapes is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, pregnancy, childbirth, or related medical conditions, sexual orientation, sexual identity, national origin, citizenship, age, marital status, or disability. Your opportunity for employment with Schultz Lawnscapes depends solely upon your qualifications.
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I understand
I do not understand