Vacancy


Vacancy


Application for Employment

Personal Information

Date:

Name *:

Social Security No.:

Present Address:

Permanent Address:

Phone Number:
Referred by:

Email *:


Employment Desired

Position:
Date Available:
Salary Req.:
Are you employed:
If so, may we inquire of your present employer?:
Ever applied to this company?:
Where?:
When?:

Education

 
Name & School Location
*Years Attended
*Date Graduated
Area of Study
Grammar School
High School
College
Trade, Business or Correspond. School

General

Subjects of Special Study or Research Work?

What foreign languages do you speak fluently?

Read:
Write:
U.S. Military Service:
Rank:

Member of National Guard/Reserves?


Special Questions

Do not answer any of the questions in this framed area unless the employer has checked a box preceding a question, thereby indicating that the information is required for a bona fide occupational qualification, is dictated by National Security Laws, or is needed for other legally permissible reasons.

Height:
Feet:
Inches:
Other:
Weight:
lbs:
U.S. Citizen:
US Naturalization Number:
Date of Birth**:
Are you Permanent Resident:
Place of Birth**:
INS A Number:

** The Age Discrimination Act of 1967 prohibits discrimination on the basis of age with respect to individiuals who are at least 40 but less than 70 years of age.


Physical Record

Do you have any physical defects that prejudice that preclude you from performing any work for which you are being considered?

Were you ever injured?
Give Details:
Have you any defects in hearing?
In vision?
In speech?

In case of emergency, notify:


Former Employers

(List below your last four employers, starting with the most recent one first.)

Date (M/Y)
Name, Address& Phone of Employer
Salary
Position
Reason Left
From
To
From
To

References

Name
Address & Phone
Business
Years Known

Remarks

To be filled by Eco-Friendly Lawn and Landscaping, LLC

Appearance:
Character:
Personality:
Ability:
Hired:
For Dept:
Position:
Will Report:
Salary/Wages:
Approved:
Employment Manager:
Dept. Head:

General Manager:


This form has been designed to comply with State and Federal Fair Employment Practice laws prohibiting discrimination on the basis of an applicant’s sex or minority status. Questions directly or indirectly reflecting such status have been included only where needed to determine a bona fide occupational qualification or for other permissible purposes. Such questions are appropriately noted on the application. Notwithstanding these efforts, the manufacturer of this form assumes no responsibility , and hereby disclaims any liability for inclusion in this form, of any questions upon which a violation of State and Federal Fair Employment Practice laws may be based.


Please verify below that you are Human

*=Required