Employment

Employment Application (English)
Download PDF Here Employment Application (Spanish)
Download PDF Here

Job Application Form

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, veteran status, the presence of a non-job-related medical condition or disability or any other legally protected status.

Contact Information

First Name (Required)

Middle Name

Last Name (Required)

Email Address

Phone Number (Required)

Fax Number

Your Address

Address #1

Address #2

City

State

Zip Code

In Case of Emergency, Notify

First Name

Last Name

Phone Number

Address #1

Address #2

City

State

Zip Code

Relationship

Education

High School

College

Trade/Bus/Tech

Subjects Studied

Employment History

Please provide a complete history of all position held, including military, part-time, summer, and volunteer employment, using additional sheet as necessary. List in chronological order starting with the most recent or present position. Please list Month/Year, Name and address of employer, Salary, Reason for leaving.

Employer 1

Employer 2

Employer 3

Employment Desired

Position Applied For

Wage/Salary Desired

Date Available

Hours

If Part Time, How Many Hours?

Who Referred You?

Have you ever been convicted of a felony, if so please explain?

Certification and Agreement

I certify that all information on this application is true and correct. I also certify that I have accounted for all of my work experience and training on this application. It is my understanding that the company may make a thorough investigation of my entire work and personal history and may verify all data given in my application for employment, related papers, or oral interviews. I authorize such investigation and the giving and receiving of any information requested by the company and I release from liability any person giving or receiving any such information. I understand that falsification of data so given or other derogatory information discovered as a result of this investigation will prevent my being hired, or if hired, will subject me to immediate dismissal. I further understand that this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and that the company can change wages, benefits and conditions at any time. I further understand my employment can be terminated with or without cause and with or without notice at any time at the option of either the company or myself. "As a potential employee of New Leaf Landscape Services, we will correspond with the references you provided us. You hereby agree not to bring any legal action against New Leaf Landscape Services, its owners or officers. Furthermore, you hereby agree not to bring legal action against any persons or companies you provided as a reference."