Employment Application Web Site First Name Middle Initial Last Name Street Address Apt/Unit # City State Zip Phone Email Date Available Desired Salary/Wage Position Applying For Do you have a driver's license? Yes No Are you a citizen of the United States? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for Green Lawn? Yes No If yes, when? Have you ever been covicted of a felony? Yes No If yes, explain Did you graduate from high school? Yes No Name of High School High School Address Years attended Did you graduate from college? Yes No Name of College Years Attended College Address Degree Previous Employment Company 1 Phone Address Supervisor May we contact your previous supervisor for a reference? Yes No Start Date End date Reason for leaving Job Title Starting Salary/Wage Ending Salary/Wage Responsibilities Previous Employment Company 2 Phone Address Supervisor May we contact your previous supervisor for a reference? Yes No Start date End date Reason for leaving Job Title Starting Salary/Wage Ending Salary/Wage Responsibilities Reference 1 Name Relationship Company Phone Address Reference 2 Name Relationship Company Phone Address Reference 3 Name Relationship Company Phone Address Certify Answers I certify that my answers are true and complete to the best of my knowledge. If this application lead to employment, I understand that false or misleading information in my application or interview may result in my release.
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