Job application | Springfield Lawn and Landscape

Please fill the form below:

First Name Required

Middle Name

Last Name Required

Address Required

City Required

Zip Required

Phone Required

Cell Phone

In case of emergency call (Person)

Illinois D.L.

Do you have your own car? Required

Yes

No

Do you have insurance? Required

Yes

No

Are you a U.S. citizen? Required

Yes

No

Are you over the age of 18? Required

Yes

No

Position/Availability

Position applied for Required

What date are you available to work, if hired? Required

Have you ever had an injury to your back or neck that required a Physicians care?

Yes

No

Can you lift up to 70 lbs? Required

Yes

No

Do you have a physical condition that would prevent you from doing hard, manual work? Required

Yes

No

Education

High School Name

High School Graduate?

Yes

No

High School Last year attended

College Name

College Graduate?

College Last year attended

Have you had any formal landscaping training?

Employment History

Present or last position

Employer #1

From

To

Address

Phone

Position Title

Supervisor Name

Reason for leaving

Pay Rate

Employer #2

From

To

Address

Phone

Position Title

Supervisor Name

Reason for leaving

Pay Rate

Employer #3

From

To

Address

Phone

Position Title

Supervisor Name

Reason for leaving

Pay Rate

Can you pass a drug test? Required

Yes

No

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above, by using, but not being limited to: Illinois Secretary of State driving records.

Do You certify above information? Required

Yes, I certify

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