JOIN OUR TEAM, Employment Application Form

Location

19 N Texas Avenue Orlando, Fl 32805

Phone

Email

info@jprolandscaping.com

Name

Middle

Last

Phone

Present address

City

State / Province / Region

Postal / Zip Code

Country

For how long?

Date of Birth

Social Security Number

Position applied for

Salary desired

How many hours can you work weekly?

Employment Desired

Full-time Part-time

Can you Work Late?

When can you start work?

Are you legally authorized to work in the United States?

Yes No

High School

Location

Years completed (not graduation date)

Major & Degree

College

Location

Years completed (not graduation date)

Major & Degree

Business or Trade School

Location

Years completed (not graduation date)

Major & Degree

Professional School

Location

Years completed (not graduation date)

Major & Degree

HAVE YOU EVER BEEN CONVICTED OF, PLED GUILTY OR "NO CONTEST" (NOLO CONTENDERE) TO A CRIMINAL OFFENSE, REGARDLESS OF WHETHER ADJUDICATION WAS WITHHELD AND REGARDLESS OF WHETHER YOUR RECORD HAS BEEN SEALED.? This question does not apply to expunged records.

Yes No

DO YOU CURRENTLY HAVE ANY CRIMINAL CHARGES PENDING?

Yes No

If yes to either question, explain all details such as number of conviction(s), nature of offense(s) leading to conviction(s) or pleas, how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation and the situation surrounding current pending charges. NOTE: An affirmative answer will not automatically disqualify you from being considered as a candidate for employment but the information will be considered in relation to the position that you are seeking. This question does not apply to sealed or expunged records.

HAVE YOU EVER BEEN A DEFENDANT IN A CIVIL SUIT FOR AN INTENTIONAL TORT (assault, battery, false imprisonment, invasion of privacy, intentional infliction of emotional distress, intentional wrongful death, etc.)?

Yes No

If yes, provide details

DO YOU HAVE A DRIVER’S LICENSE?

Yes No

ID Card or Driver's license number

Expiration Date

State / Province / Region

What is your means of transportation to work?

Have you had any accidents during the past three years?

Yes No

How Many

Have you had any moving violations during the past three years?

Yes No

How Many

Please complete the following letting us know what Equipment you have Experience working with.

Mowers (rider)

Mowers (walk behind)

Edger

Line trimmers

Blowers

Hedge trimmer

Pole saw

Chain saw

Back pack sprayer

REFERENCE SHEET
Please list three or more references other than relatives or previous employers.

Ref #1

Name

Last

Phone

Address

City

State / Province / Region

Postal / Zip Code

Country

Ref #2

Name

Last

Phone

Address

City

State / Province / Region

Postal / Zip Code

Country

Ref #3

Name

Last

Phone

Address

City

State / Province / Region

Postal / Zip Code

Country

Ref #4

Name

Last

Phone

Address

City

State / Province / Region

Postal / Zip Code

Country

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Work Experience
Please list your work experience for the past ten years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. FOR ALL EMPLOYMENT DATES INDICATE MONTH AND YEAR.

Name of Employer

Phone

Address

City

State / Province / Region

Postal / Zip Code

Country

Name of last supervisor

Last

Your last job title

Employment Dates

From

Pay or Salary

Start

Final

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Pay or Salary

Start

Final

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Please explain completely any gaps in your employment history:

Are you currently employed?

Yes No

If so, why do you wish to leave your current employment?

May we contact your present employer?

Yes No N/A

Have you ever applied or worked here before?

Yes No

If yes, provide dates

List any relatives or friends currently employed here:

Have you signed any agreements or documents (e.g., non-compete or non-solicit restrictions) with any other employer or business that would restrict you from working for this company?

Yes No

If so, please explain (You may be required to furnish a copy of the agreement)

APPLICANT'S ACKNOWLEDGMENT

I certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application or accompanying resume, letter of reference or other document will disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application or accompanying resume, letter of reference or other document will be cause for my dismissal at any time without prior notice. I hereby authorize investigation of all statements contained in this application. I agree to immediately notify the Company, during my period of employment, if hired, of any pending or future criminal convictions, guilty pleas or no contest (nolo contendere) pleas or similar issues. If driving is a condition of my employment, I agree to immediately notify the Company if my driver’s license is suspended or revoked. I understand that if employed it is not for a definite period of time and that either the undersigned or the Company may end the employment relationship at any time, without specified notice or reason.

I acknowledge that this application will remain active for 60 days from this date. If I have not heard from the Company at the conclusion of this 60 day period, if I still wish to be considered for employment by the Company, it is my responsibility to complete a new application. If hired, I understand that this application becomes part of my official employment record.

Draw your signature into the box below.

Full Name

Name

Middle

Last

FLORIDA DRUG FREE WORKPLACE PROGRAM

THE COMPANY IS – OR IS IN THE PROCESS OF BECOMING – A DRUG FREE WORKPLACE. IT IS A CONDITION OF EMPLOYMENT WITH THE COMPANY THAT ALL EMPLOYEES REFRAIN FROM USING DRUGS ON THE JOB. REFUSING TO SUBMIT TO A TEST FOR DRUGS OR ALCOHOL CAN RESULT IN THE FORFEITURE OF ELIGIBILITY FOR MEDICAL AND INDEMNITY BENEFITS.

EQUAL EMPLOYMENT OPPORTUNITY POLICY
This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age, marital status, disability or other classification protected by law. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business.

APPLICATION FOR EMPLOYMENT

PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING

APPLICATION FORM WAIVER/RELEASE

At-will.

I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, or regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment for a definite term, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

Initials

Application Disclosure and Release.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is grounds for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others with relevant information (excluding any medical information except post-offer) that may be useful to the Company in making a hiring decision and hereby release the Company and such persons and organizations from any liability as a result of such contact. If employed, I also grant permission for the Company to release information concerning my employment to prospective employers and, I release the Company from any legal liability in releasing any information.

Initials

Drug and Medical Testing and Consent.

I also understand that: (1) the Company has a drug and alcohol policy that allows for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of any required testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

Initials

Probationary Period.

I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment with the Company is terminable at will for any reason by either party.

Initials

Full Name

Name

Middle

Last

Note
SEPARATE FEDERAL FAIR CREDIT ACT NOTICES AND ACKNOWLEDGMENTS WILL BE REQUIRED FOR CONSUMER REPORTS AND INVESTIGATIVE CONSUMER REPORTS TO BE CONDUCTED BY THIRD PARTY

EMPLOYMENT INFORMATION FORM
PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

First name

Last Name

Relationship

Phone

Address

City

State / Province / Region

Postal / Zip Code

Country