Tuesday, 21 of November of 2017

Employment Appilcation

Grizzly Bear Lawn Care is an equal opportunity Employer.

Your Full Name (required)

Present Address (required)

City, State, Zip (required)

Permanent Address (required)

City, State, Zip

Previous Address (required)

City, State, Zip

Phone Number

Cell Phone

Your Email (required)

Emergency Contact (name)

Emergency Contact (phone)

Desired Employment

Desired Position (required)

Soonest you Can Start (required)

Desired Salary (required)

Currently Employed (required)
YesNo

May We Contact Current Employer (required)
YesNo

Have you Applied here Before (required)
YesNo

Where / When (required)

Have you Worked here Before (required)
YesNo

Where / When (required)

Reason for Leaving? (required)

Education

High School Attended

Years Attended)

Did you graduate?
YesNo

Subjects Covered

College Attended

Years Attended

Did you graduate?
YesNo

Subjects Covered

Trade, Business, or Correspondence School

Years Attended

Did you graduate?
YesNo

Subjects Covered

Subjects of Special Study or Research Work

Special Training, Certifications, Licenses

Special Skills, Foreign Languages, ETC.

Driving Information

Do you have a legal/current Driver's License

Driver's License Number

Driving Offense or Traffic Violations?

Explanation

Legal Information

Currently a U.S. Citizen? (required)
YesNo

Currently 18 years of age or older?
YesNo

Have you ever been convicted of, plead guilty/no contest to, or had a suspended imposition of sentence for any offense (other than a minor traffic violation)?
YesNo

If Yes, please explain:

Former Employers
List Below Last Three Employers, Starting with the Most Recent.

Name of Present or Last Employer

Address, City, State, Zip

Start Date

Leaving Date

Job Title

Weekly Starting Salary

Weekly Final Salary

'

May We Contact your Previous Supervisor?

Supervisor Name?

Title

Phone #

Description of Work

Reason for Leaving

Name of Previous Employer

Address, City, State, Zip

Start Date

Leaving Date

Job Title

Weekly Starting Salary

Weekly Final Salary

'

May We Contact your Previous Supervisor?

Supervisor Name?

Title

Phone #

Description of Work

Reason for Leaving

Name of Previous Employer

Address, City, State, Zip

Start Date

Leaving Date

Job Title

Weekly Starting Salary

Weekly Final Salary

'

May We Contact your Previous Supervisor?

Supervisor Name?

Title

Phone #

Description of Work

Reason for Leaving

References

Reference 1

Reference Address

Reference Relation

Reference Phone

Reference 2

Reference Address

Reference Relation

Reference Phone

Reference 3

Reference Address

Reference Relation

Reference Phone

"By Hitting Submit I certify the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for Dismissal."

"I authorize Investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information."

"I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

"This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans With Disabilities Act (ADA) and other relevant federal and state laws."

I accept