GAS Lawn Pros Employment Application

Which Position Are You Applying For? (check all that apply)(Required)

Lawn Maintenance Technician

Pesticide Applicator

Landscaper

Name(Required)

First Last

Address(Required)

Street Address City State ZIP Code

Primary Phone Number(Required)

Alternate Phone Number

Email(Required)

Date of Birth(Required)

Are you at least 18 years of age?(Required)

Are you interested in a full-time or part-time position?(Required)

Part-time

Full-time

Date Available for Work?(Required)

What days of the week are you available for work?(Required)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Do you have a valid driver's license?(Required)

Driver's License Number(Required)

Issuing State(Required)

Driver's License Expiration Date(Required)

Do you have a reliable form of transportation?(Required)

Have you ever been charged with a misdemeanor or felony?(Required)

If yes, please explain.

Are you an U.S. Citizen?(Required)

Do you speak fluent English?(Required)

Could you pass a Criminal Background Check?(Required)

Could you pass a drug test?(Required)

Name of High School Attended(Required)

Location of High School(Required)

High School Graduation Year

Did you graduate with a diploma?(Required)

Year of Graduation(Required)

Did you attend College or a Trade School?(Required)

Name of College or Trade School(Required)

Year of Graduation(Required)

Name of College or Trade School(Required)

Number of Years Attended(Required)

Please enter a number from 1 to 4.

Did you obtain a degree or certification?(Required)

In what field or area of expertise?(Required)

Work History

Name of Current or Most Recent Employer(Required)

Supervisor's Name(Required)

First Last

Employer's Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Employer's Phone Number(Required)

Position(Required)

Duties(Required)

Ending Wages/Salary

Beginning Work Date

Last Work Date

Reason for Leaving(Required)

Section Break

Previous Employment

Previous Employer

Supervisor's Name

First Last

Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer's Phone Number

Position

Duties

Ending Wages/Salary

Beginning Work Date

Last Work Date

Reason for Leaving

Section Break

Additional Work Details

Describe any other WORK RELATED Experience, Qualifications and/or Skills.(Required)

Is there anything else you would like for us to know about you that sets you apart from other potential candidates?(Required)

Please, provide details.(Required)

Section Break

References

Name of Reference (1)(Required)

First Last

Relationship to You(Required)

Friend/Acquaintance

Family Member

Other

Phone Number(Required)

Email

Name of Reference (2)(Required)

First Last

Relationship to You(Required)

Friend/Acquaintance

Family Member

Other

Phone Number(Required)

Email

Employment Application Acknowledgement & Disclaimer

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. Furthermore, completion of this application does not guarantee that I will be hired but is merely an offer of or request for employment. I authorize any person, organization or company listed on this application to furnish GAS Lawn Pros any and all information concerning my previous employment, education and qualifications for employment, etc. I also authorize GAS Lawn Pros to request and receive such information. I hereby authorize GAS Lawn Pros and its designated agents and representatives to conduct a comprehensive review of my background causing an investigative consumer report to be generated for employment purposes. I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas: verification of social security number; current and previous residences; employment history including all personnel files; education including transcripts; character references; criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; birth records; motor vehicle records to include traffic citations and registration; and any other public records or to conduct interviews with third parties relative to my character, employment history, and/or general reputation. In consideration for my employment, I agree to abide by the rules and regulations of GAS Lawn Pros, which rules may be changed, withdrawn, added or interpreted at any time, at the company’s sole option and without prior notice to me. I also acknowledge that my employment may be terminated, or any offer or acceptance of employment withdrawn, at any time, with or without cause, and with or without prior notice at the option of GAS Lawn Pros. Should I choose to terminate my employment with GAS Lawn Pros I agree to give a courtesy two (2) week notice. By submitting this application I do agree to all of the terms and conditions contained, herein.

Were you referred to GAS Lawn Pros by one of our current, exemplary employees?(Required)

Whom referred you?

First Last

Electronic Signature(Required)

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