Job Application

General Information

Name*

First Middle Last

Social Security Number*

Date of Birth*

Address*

Street Address City State ZIP Code

Email Address*

Driver's License Number*

Driver's License Expiration*

Position applying for:*

How did you hear about this position?*

If hired, what is your earliest start date?*

Desired Salary/Wage*

Are you a United States citizen?*

Yes

Are you authorized to work in the United States?*

Yes

Have you ever worked for this company?*

Yes

What was the last date you worked for this company?*

References

Please list two professional references.

List

Full Name

Relationship

Address

Phone Number

Past Work Experience

Please begin by listing your current or most recent employment from today’s date and dating back through your past three places of employment.

Employer 1*

Address*

Street Address City State ZIP Code

Work Title*

Salary/Wage Earned*

Duties Performed*

Employment Start Date*

Employment End Date*

Reason for Leaving*

Name of Immediate Supervisor*

First Last

Supervisor's Phone Number*

May we contact this individual as a reference?*

Yes

Employer 2*

Address*

Street Address City State ZIP Code

Work Title*

Salary/Wage Earned*

Duties Performed*

Employment Start Date*

Employment End Date*

Reason for Leaving*

Name of Immediate Supervisor*

First Last

Supervisor's Phone Number*

May we contact this individual as a reference?*

Yes

Employer 3*

Address*

Street Address City State ZIP Code

Work Title*

Employment Start Date*

Employment End Date*

Reason for Leaving*

Name of Immediate Supervisor*

First Last

Supervisor's Phone Number*

May we contact this individual as a reference?*

Yes

Education

High School

Name

Location (City, State)

Year Graduated

Degree Earned

College/University

Name

Location (City, State)

Year Graduated

Degree Earned

Vocational School/Specialized Training

Name

Location (City, State)

Year Graduated

Degree Earned

Military Service

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, please explain

Landscape Career Questions

Have you ever driven or used the following?

What is your background experience in the Landscape/Horticulture Industry?

Are you able to lift 90lbs unassisted?*

Yes

What are your immediate goals?*

What are your future goals?*

What can Landscape impressions do for you to make the work place a place you would like to be at every day?*

What do you do for fun/hobbies?*

Do you see any problems working with the opposite sex?*

Yes

Please explain*

Where do you see yourself in 5 years?*

Customer service is very important; please describe how you would handle the following situation..... You have been working all day, planting over 60 shrubs and perennials and 15 trees, you just finished the project by mulching and cleaning up the work area, the temperature is still 80 degrees. The homeowner returns home from work and wants you to stay and move 3 of the trees that you had planted earlier that day as the plan described, list how you would handle this situation......*

Please note that the questions listed is sole for the use of Landscape Impressions and It's just to help us learn a little more about YOU

Consent Form

I hereby understand and agree that Landscape Impressions LLC, 410 E Main St, Mount Joy PA, will perform a background check to include criminal and driving histories prior to any offer of employment. I further understand that the results of the background check(s) may determine offer/withdrawal for employment.

Signature*

Date*

Comments

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(717) 492-0061

General Information

References

Past Work Experience

Education

Military Service

Landscape Career Questions

Consent Form

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