Applicant's Full Name
Street Address
City, State, ZIP
Phone
Email
Driver's License (State/#)
Emergency Contact Information
Position Applied For
Full Time/Part Time?
Age
Are you willing to work overtime?
Are You willing to work Saturdays if necessary?
Do you have a vehicle or reliable transportation?
Do you understand that this position may be seasonal in nature?
Have you applied with Bluegrass Landscape Company before?
Desired Wage
When can you start?
Have you been convicted of a felony?
Who referred you to Bluegrass Landscape Company?
Are you able to complete the essential functions of the job with or without reasonable accommodations?
Education - High School
Education - College
Education - Other
List any skills that may be useful to the position
Employment History - Present or Most Recent Job
Next Most Recent Job
Next Most Recent Job
Additional Employment
Reference 1 (Please provide 3 non-relative references from past business acquaintances or others who are familiar with your work-related skills)
Reference 2 (Please provide 3 non-relative references from past business acquaintances or others who are familiar with your work-related skills)
Reference 3 (Please provide 3 non-relative references from past business acquaintances or others who are familiar with your work-related skills)
Please provide any other information that you believe should be considered by Bluegrass Landscape Company.
Certification: I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for the rejection of my application, or if employment begins, the reason for my termination. I authorize Bluegrass Landscape Company to contact former employers and educational organizations regarding my employment and education. I authorize former employers and educational organizations to fully and freely communicate information regarding my previous employment and attendance. I authorize those persons designated as references to fully and freely communicate information regarding my business relationship with them. If employment is offered, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by the President/Owner, the employment relationship will be “at-will”. In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for the reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Bluegrass Landscape Company, except in a specific written contract of employment signed on behalf of the organization by it’s President/Owner, has the power to alter or vary the voluntary nature of the employment relationship. MY INITIALS BELOW INDICATE THAT I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
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