Careers - Jake's Lawn Care

Jake's Lawn Care Service LLC

1914 Ridge DR (MAILING)
1466 S. 125 E. (SHOP)
Washington, IN 47501
812-486-9258

Seasonal-Employment Application

APPLICANT INFORMATION

Last Name

First Name

Middle Initial

Date of Birth

Street Address

Apartment/Unit #

City

State

ZIP

Phone

Email Address

Date Available

Social Security No.

Desired Salary

Position Applied For

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you ever worked for this company?

If so, when?

Have you ever been convicted of a felony?

If yes, explain.

EDUCATION

High School

Address

From

Did you graduate?

Degree

College

Address

From

Did you graduate?

Degree

Other

Address

From

Did you graduate?

Degree

REFERENCES - Please list two references.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

PREVIOUS EMPLOYMENT

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we contact your previous supervisor for a reference?

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we contact your previous supervisor for a reference?

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we contact your previous supervisor for a reference?

MILITARY SERVICE

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, explain.

DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Date

Jake's Lawn Care Service LLC

Seasonal-Employment Application

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