Better Earth Landscaping Job Application:

Order Number

Better Earth Landscape Maintenance is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Applicant Information:

Full Name *

Email Address *

Telephone Number: *

Address: *

City: *

State: *

Zip *

Employment Position

Position applying for: Laborer

How did you hear about this position? *

What days are you available for work?

Sun. Mon. Tue. Wed. Thu. Fri. Sat.

If needed, are you available to work overtime? *

Yes No

On what date can you start working if you are hired?

Do you have reliable transportation to and from work? *

Yes No

Personal Information:

Have you ever applied to or worked for Better Earth Landscape Maintenance before? *

Yes No

If yes, when?

Do you have any friends, relatives, or acquaintances working for Better Earth Landscape Maintenance? *

Yes No

If yes, state name & relationship:

Your Age: *

Are you a U.S. citizen or approved to work in the United States? *

Yes No

What document can you provide as proof of citizenship or legal status? *

Will you consent to a mandatory controlled substance test? *

Yes No

Have you ever been convicted of a criminal offense (felony or misdemeanor)? *

Yes No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: Better Earth Landscape Maintenance complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )

Education and Training

High School:

High School Name

High School Location

High School Year Graduated

College/University:

College/University Name:

College/University Location

College/University Year Graduated:

Degree Earned:

Vocational School/Specialized Training:

School/Training Name:

School Location:

Year Graduated:

Degree Earned:

Military:

Are you a member of the Armed Services?

Yes No

Previous Employment

Employer #1

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

Employer #2

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

Employer #3

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

References:

You're Almost Done!

Please provide 3 personal and professional references:

Reference Name:

Reference Contact Information:

Reference Name:

Reference Contact Information:

Reference Name:

Reference Contact Information:

Additional Information:

If not specified above, at which other landscaping companies has the applicant been employed?

If not specified above, how long did the applicant hold employment at each company?

If not secified above, which tasks/jobs was the applicant responsible for while working for previous landscaping/lawn care companies?

AT-WILL EMPLOYMENT

The relationship between you and theBetter Earth Landscape Maintenance is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Better Earth Landscape Maintenance. No representative of Better Earth Landscape Maintenance has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant Signature:

By submitting your information, you acknowledge that all representations made by you are true and correct to the best of your knowledge and belief, and you have not knowingly omitted any related information of an adverse nature. Providing any inaccurate information may make you ineligible for employment.

I agree.

I Agree