Please complete the application below. APPLICANT INFORMATION Name * First Name Last Name Email * Phone * (###) ### #### Date * MM DD YYYY Position Applied For Maintenance Crew Member Date Available to Start MM DD YYYY Are you legally authorized to work in the U.S.? * Yes No EMPLOYMENT ELIGIBILITY Do you have a valid driver's license? * Yes No Any restrictions or endorsements? * Are you able to lift, push, or pull 10-60 lbs throughout the day? * Yes No Can you operate landscaping equipment safely? * Yes No Are you willing to work in varying weather conditions? * Yes No EDUCATION Highschool * School Name - Location - Years Attended- Did you graduate? Yes No College School Name - Location - Years Attended- Did you graduate? Yes No Other / Trade School School Name - Location - Years Attended- Did you graduate? Yes No PREVIOUS EMPLOYMENT Previous Employment (1) Previous Employer Information * Please list Employer, Phone, and Job Title Employer Address * Dates of Employment * Starting Pay * Ending Pay * Responsibilities * Flex! Be as detailed as you'd like here. Reason for Leaving * Previous Employment (2) Previous Employer Information * Please list Employer, Phone, and Job Title Employer Address * Dates of Employment * Starting Pay * Ending Pay * Responsibilities * Flex! Be as detailed as you'd like here. REFERENCES (Professional only) Reference 1 * First Name Last Name Phone * (###) ### #### Relationship * Company * Reference 2 * First Name Last Name Phone * (###) ### #### Relationship * Company * Additional References (optional) We only require two professional references, but feel free to add more here. Acknowledgement I certify that the information I have provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in disqualification from employment or termination if hired. I authorize Cultivate Landscape LLC to verify any and all information provided and to contact previous employers and references listed above. * Yes No Today's Date * MM DD YYYY How did you learn we are hiring? * Thank you!
