Home Employment Application Employment Application Employment Application Applicant's Information Name Current Address City State Zip Parent/Guardian Information Telephone Email Are you 18 years of age or older? Yes No Do you hold a valid driver’s license? Yes No State License # Exp. Date Anticipated starting wage? Have you had any driving accidents or violations in the past three years? Yes No If yes, please explain: Have you ever been convicted of a misdemeanor or felony? Yes No If yes, please explain: Can you, after employment, submit verification of your legal right to work in the United States? Yes No If no, please explain: Education Education Name Years Completed Graduated? Courses / Major High School: Yes No College: Yes No College: Yes No Vocational / Technical: Yes No Employment History Please document your last two paid positions of employment. Business Name Address City State Zip Phone Supervisor May we contact your present employer? Yes No Duties Reason for Leaving? Business Name Address City State Zip Phone Supervisor May we contact your present employer? Yes No Duties Reason for Leaving? Landscaping Experience: Please describe Personal References Name Address Telephone Relationship Current Bench Max: Current Squat Max: Current Hang Clean Max: Current 40 Time: How did you hear about job opening? I hereby certify that the information given by me is true in all respects. I understand that misrepresentation or omission of facts may result in refusal to hire or termination of employment.