Macon Landscape - Application for Employment
Name
State
Zip Code
Date of Birth
Home Phone #
Cell Phone #
Driver's License #
Email Address
Employment Information
Position Desired
Start Date
Salary Desired
Are You Employed?
Yes
No
If yes, please provide employer contact information
Employer
Person/Reference
Phone #
Can we contact your employer?
Yes
No
Education History
High School
Graduation Year
College, Trade School
Graduation Year
Major, Subjects Studied
General Information - (Special Training or Skills)
Former Employers
From
To
Name + Address of Employer
Salary
Reason(s) for leaving
From
To
Name + Address of Employer
Salary
Reason(s) for leaving
From
To
Name + Address of Employer
Salary
Reason(s) for leaving
References
Name
Contact Info
Name
Contact Info
Name
Contact Info
Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for immediate dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employement and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company other than the authorized management personnel has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or user of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
Yes, I accept
No, I do not accept
