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Application for Employment
Shades of Green Landscaping
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Name *
First and Last Name
Present Address *
Phone Number *
Social Security Number *
Driver's license number/state/expiration *
Date of Birth *
Email *
Position Applied for *
Are you employed? *
If employed, may we contact your present employer? *
Date you can start *
Salary Desired *
Have you ever applied to this company before? *
Education History- Name and Location of School *
Did you graduate? *
Did you attend college or trade school? *
If so, please list school name and degrees/certifications obtained *
Employment Information- Name and Address of Employer, Salary, Position & Reason for Leaving *
References- Please provide 3 Name, Address, Business, Years Known *
Do you have any friends or relatives employed by this company? *
If Yes, please provide their names and relationship to you? *
If you are under 18 years of age, can you provide proof of your eligibility to work? *
If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.? *
Are you able to perform all of the essential functions of the job for which you are applying with or without reasonable accommodation? *
If hired, are there any accommodations the company would need to provide so that you can perform all those essential functions and duties of the position being applied for? *
If driving is a requirement of the position applied for, have you in the last 7 years been convicted of Driving Under the Influence "(DUI)"? *
Have you ever been convicted of a felony or misdemeanor? *
If yes, please provide details below *
Have you ever been convicted of Medicare Fraud and Abuse? *
If yes, please provide details below *
References- Please provide 3 Name, Address, Phone Number & Relationship *
Submit your cover letter and resume to *
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