R&M Landscaping

Employment Application

* Full Name * DOB //
* Address * Marital status | US Citizen?
Zip | State Weight lbs | Height ft in
* How long have you lived there? In case of emergency notify
(Phone )
* Phone | * Social Security No. Names of dependents / Relationship
Are you willing to travel? /
Any restrictions on where you work? /
Where you ever in our employ?
If so, where?
Superior's name
From to
/
Who suggested you apply to this Co. Accomodation
What type of work are you applying for? Are you related to anyone in this company?
Details of any military career:
Details of any serious illnesses
What serious accidents or operations have you had?

Education

  Name of school Year entered year left Did you graduate? Degree Major subject
Grammar school
High school
College
Business school
Other

Personal References

(Refer to professional or business people if possible, not relatives or former employers)

  Name Address Occupation
* 1
2
3
4
Will you accept part time work? Temporary work?
Have you ever been arrested? Refused bond?
* Drivers License No. * Type

Employment Record

  1. Last Employer 2. Previous Employer 3. Previous Employer
Firm Name
Address
Kind of business
Title of your job
Department
Immediate Supervisor
When did you start?
When did you leave?
Starting salary
Salary at time of leaving
Why did you leave?
       
  4. Previous Employer 5. Previous Employer 6. Previous Employer
Firm Name
Address
Kind of business
Title of your job
Department
Immediate Supervisor
When did you start?
When did you leave?
Starting salary
Salary at time of leaving
Why did you leave?

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.