Lawn Technician – Part Time

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First Name

Last Name

Phone Number

Address

Are you legally eligible to work in the United States on a full-time basis?

Have you ever been convicted of a felony, or do you have any felony charges pending against you?

If Selected For Employment Are You Willing To Submit to a Pre-Employment Drug Screening Test & Background Check?

Do you have a clean driving record?

This job will require you to walk 5-6 miles per day and carry up to 35 pounds over extended periods of time. Would you be able to perform these tasks with or without reasonable accommodation?

Are you 21 years of age or older?

Employment Desired

Education
Please include: School Name, Location, Years Attended, Degree Received, and Major

High School

Address

Dates Attended

Did You Graduate?

College

Address

Dates Attended

Did You Graduate?

Personal References
Please include the name and phone number of up to three personal references. We may call these individuals.

Full Name

Relationship

Phone Number

Full Name

Relationship

Phone Number

Full Name

Relationship

Phone Number

Employment History
Please include the name, dates, location, phone number, pay rate, and reason for leaving your three most recent employers.

Company

Address

Phone Number

Title

Starting Salary

Ending Salary

Responsibilities

Additional Qualifications

Please describe any other training, education, skills or achievements that you feel should be considered.

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Lawn Technician – Part Time

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