First Name (required)
Last Name (required)
Middle Initial (required)
Phone (required)
Date of Birth (required)
Street Address (required)
City (required)
State (required)
Zip (required)
Full Name (required)
Address (required)
Position Desired (required)
Salary Desired (required)
Do any of your relatives work for this company? (required) YesNo
If yes, names and relationships:
Have you been employed by this company before? (required) YesNo
If yes, dates of employment:
Have you filed an application with this company before? (required) YesNo
If yes, date of application:
Do you have the legal right to work in the U.S.? (required) YesNo
What days are you available to work? (required) SundayMondayTuesdayWednesdayThursdayFridaySaturday
Do you object to irregular hours? (required) YesNo
Do you object to working on weekends? (required) YesNo
Do you object to working more than 40 hours in a work week? (required) YesNo
Have you ever been suspended or terminated from a job(s)? (required) YesNo
If yes, please explain:
Have you ever been convicted of, or have you pleaded guilty or 'no contest' to, a felony offense in any state? (required) YesNo
Do you have a high school diploma? (required) YesNo If yes, what location?
Do you have a college degree? (required) YesNo If yes, what is the degree and where is it from?
Do you have a drivers license? (required) YesNo
If yes, state of issue:
Driver's License #:
Driver's License Expiration Date:
Has your license ever been revoked? (required) YesNo
If yes, state when and for what reason:
List all driving violations you have incurred during the past 3 years:
Please list 3 persons, excluding relatives, who can provide a personal reference for you. For each reference provide Name, Occupation, Address, & Phone below:
Reference #1 (required)
Reference #2
Reference #3
Company #1
Company #1 Name (required)
Company #1 Address (required)
Company #1 Position (required)
Company #1 Start Date (required)
Company #1 End Date (required)
Company #1 Start Pay (required)
Company #1 End Pay (required)
Company #1 Job Duties (required)
Company #1 Reason for Leaving (required)
Company #1 Supervisor's Name (required)
Company #1 Phone (required)
Company #2
Company #2 Name
Company #2 Address
Company #2 Position
Company #2 Start Date
Company #2 End Date
Company #2 Start Pay
Company #2 End Pay
Company #2 Job Duties
Company #2 Reason for Leaving
Company #2 Supervisor's Name
Company #2 Phone
List any other experiences, skills, or qualifications you feel are relevant:
Please Read Before Signing:
I give Brandows Lawn & Landscape., the right to make a thorough investigation of my background and to perform reference checks.
I release all persons supplying reference and/or background information and Brandows Lawn & Landscape., from any liability for damages which might result from the furnishing of or the use of any of this information.
I understand that no circumstances, written or oral offers of employment, or other benefits related to employment shall be viewed as establishing an employment contract unless there is an explicit written employment contract executed solely for that purpose.
I understand that Florida is an at-will employment state, and that this employer or I may end my employment at any time with or without reason.
I certify that all statements contained in this application (including attachments) are true to the best of my knowledge. I understand that if any false or misleading information or omission on this application is discovered, it will be reason for immediate rejection or dismissal.
