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Employment Application

Step 1 of 6

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Name
First Last
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Alt. Phone
Birthday*
Social Security Number
Desired Salary
Employment Desired*
- Full-Time
- Part-Time
- Full-Time or Part-Time
Days Available to Work
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Sunday
Hours on Mondays You're Available to Work
Hours on Tuesdays You're Available to Work
Hours on Wednesdays You're Available to Work
Hours on Thursdays You're Available to Work
Hours on Fridays You're Available to Work
Hours on Saturdays You're Available to Work
Hours on Sundays You're Available to Work
When are you available to start working?
Are you a US citizen?*
- Yes
- No

Education
Select Each That Applies to You
- High School
- College / University
- Business / Trade School
- Other
What high school did you attend?
Did you graduate high school?
- Yes
- No
What college / university did you attend?
Did you graduate from the college / university?
- Yes
- No
What business / trade school did you attend?
Did you graduate from the business / trade school?
- Yes
- No
Please specify "other" selection:

Driving Record
Do you have a valid driver's license?*
- Yes
- No
Driver’s License Number
State of Issue
Do you hold any of the following licenses?
- Operator
- Commercial (CDL)
Are you proficient at driving a truck while towing a trailer?*
- Yes
- No
- Somewhat
Have you had any accidents during the past three years?
- Yes
- No
Have you had any moving violations during the past three years?
- Yes
- No
How many accidents?
How many moving violations?

Landscape Experience
Describe landscaping experience (i.e. lawn maintenance, mulching, pruning, planting, irrigation, hardscaping, etc.)*
Describe equipment you are familiar with:*

Work Experience
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Name of Last Supervisor
First Last
Started Employment
Ended Employment
Pay or Salary
Reson for Leaving (please be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Would you like to add an additional work experience?
- Yes
- No
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Name of Last Supervisor
First Last
Started Employment
Ended Employment
Pay or Salary
Reason for Leaving (please be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Would you like to add an additional work experience?
- Yes
- No
Company Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Name of Last Supervisor
First Last
Started Employment
Ended Employment
Pay or Salary
Reason for Leaving (please be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Would you like to add an additional work experience?
- Yes
- No
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Name of Last Supervisor
First Last
Started Employment
Ended Employment
Pay or Salary
Reasons for Leaving (please be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact your present employer?
- Yes
- No

References
Name of Reference #1
First Last
Company
Position
Relationship
Phone
Name of Reference #2
First Last
Company
Position
Relationship
Phone
Name of Reference #3
First Last
Company
Position
Relationship
Phone
APPLICATION FORM WAIVER
In exchange for the consideration of my job application by Gallaher Landscaping LLC (hereinafter called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Gallaher Landscaping LLC or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the owner of the Company. Both the undersigned and Gallaher Landscaping LLC may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I also understand that (1) the Company has a drug and alcohol policy that provides for possible pre-employment testing as well as random and /or periodic testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

I further understand that my employment with the Company shall be probationary for a period of thirty (30) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business.
I agree to the terms above.*
- Yes

Step 1 of 6

Education

Driving Record

Landscape Experience

Work Experience

References