employment application form

Boyden’s Landscaping
APPLICATION FOR EMPLOYMENT
(Please Print)
Today’s date:_________________
Name_________________________________________________________
Address_______________________________City/State__________________________
Telephone (
)__________________________
Are you available to work - Full time_______ Part time_____________
Do you have a valid drivers license?
Yes_____
No______
Can you drive a standard vehicle?
Yes_____
No______
How is your driving record? _____________________________
Are you willing to get a copy of your driving record? Yes_____ No_______
Have you ever been convicted of a felony? Yes______ No______
Do you have any landscaping experience? Yes______ No_______
If so where? ___________________________________________
On what date would you be available for work? _______________________
Have you any health issues Yes___ No____If yes explain_________________________
Any back problems? Yes_____
No______
Can you lift 80lbs? Yes_____
No______
Do you use drugs?
Yes_____
No______
What hourly rate are you looking for? ____________ *Must fill in
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EMPLOYMENT EXPERIENCE
Employer__________________________________________________
Address______________________________Telephone______________________
Supervisor__________________________ Reason for leaving___________________
Work Performed________________________ Rate of pay____________________Employer __________________________________________________
Address________________________ Telephone_____________________
Supervisor_______________________ Reason for leaving______________________
Work Performed_______________________ Rate of pay________________________
REFERENCES
Name______________________________Telephone____________________________
Name______________________________Telephone____________________________