Employment Application "*" indicates required fields Name* First Name Middle Name Last Name Address* Address City State Zip Code Home PhoneCell PhoneEmployment DesiredPosition Desired*Salary Desired*Date Available to Start* MM slash DD slash YYYY Are you able to work overtime or weekends if needed?* Yes No What days and hours are you available to work?*Personal InformationHow did you hear about the position?*Have you ever applied to, or worked for FS Commercial Landscape, Inc. before?* Yes No If yes, when?*Why are you applying for work at FS Commercial Landscape?*Do you have any friends or relatives working for FS Commercial Landscape, Inc?* Yes No If yes, state name(s) and relationshipWe may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, morale, or doing so could create conflicts of interest.NameRelationshipNameRelationshipIf hired, would you have a reliable means of transportation to and from work?* Yes No Are you at least 18 years of age?* Yes No (If you are under 18, hire is subject to verification that you are of minimum legal age.)Are you Authorized to work in the United States?* Yes No I am willing to stay overnight out of town for work purposes, 4 nights a week* Yes No Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?* Yes No If No, describe the functions that cannot be performed*Employment HistoryList below all present and past employment starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching a resume. Employment HistoryName of Employer*Telephone*Type of Business*Your supervisor's name*Address*City*State*Zip Code*Dates of Employment (Month & Year)Starting*Ending*Your Position and Duties*Reason for leaving*May we contact this employer for a reference?* Yes No +-(Note: We comply with the Americans with Disabilities Act (ADA) and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hired may be subject to passing a medical examination and skill and agility tests.)Many of our employees do not speak English. Do you speak, write or understand Spanish or any other language?* Yes No Do you have any other experience, training, qualifications, or skills that you feel make you especially suited for work at FS Landscape?* Yes No If so, please explain*Education, Training, Experience EducationType*High SchoolCollege/UniversityVocational TrainingName*Completed / Graduated?* Yes No Years*Degree / Diploma*Address*City*State*+-ReferencesList below, two persons not related to you who have knowledge of your work performance within the last three years. ReferencesName*Years Known*Telephone*Address*City*State*Occupation*+-Please read carefully. After reading Initial each paragraph and sign below.Consent* I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.Consent* I hereby authorize FS COMMERCIAL LANDSCAPE, INC to thoroughly investigate my references, work record, education and other matters related to my suitability for employment. I further authorize the references i have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships, and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.Consent* I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time with or without prior notice, at the option of either myself or the Company and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company's designated representative.Consent* In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.The company will consider qualified applicants, including those with criminal histories, in a manner consistent with local “Fair Chance” laws.Applicant's Signature* Δ
