Job-Application

Simpson’s Landscape and Property Maintenance

32 Deerhill Road • Waterford • Maine • 04088

call or text: 207.523.0694 Fax 207-583-9108

click: simpsonslandscaping@gmail.com | www.simpsonlandscaping.biz

EMPLOYMENT APPLICATION

GENERAL INFORMATION

NAME:

________________________________________________________________

ADDRESS:

________________________________________________________________

DAY TIME PHONE NUMBER:

__ _______________________________________________________

EVENING PHONE NUMBER:

_________________________________________________________

SOCIAL SECURITY NUMBER: ___ ___ ___ - ___ ___ - ___ ___ ___ ___

DRIVER’S LICENSE NUMBER: ____________________________________

POSITION APPLYING FOR: ________________________________________________________

CHOOSE ONE:

FULL TIME _________ PART TIME _________

EDUCATION

NAME OF HIGH SCHOOL: __________________________________________________________

YEARS ATTENDED: FROM __________________ TO ________________________

GRADUATED: YES ________________ NO _______________ G.E.D. ________________

NAME OF COLLEGE: _______________________________________________________________

YEARS ATTENDED: FROM __________________ TO ___________________________

GRADUATED: YES _________________ NO _______________ DEGREE ________________

NAME OF VOCATIONAL OR TRADE SCHOOL: _____________________________________

YEARS ATTENDED: FROM __________________ TO ______________________________

CERTIFICATION EARNED: _________________________________________________________

OTHER (EXPLAIN): _________________________________________________________________

EMPLOYMENT

CAN WE CONTACT ANY OF YOUR PREVIOUS EMPLOYERS? ______________

PRESENT OR MOST RECENT EMPLOYER: ________________________________________

POSITION : _________________________________________________________________________

PHONE NUMBER: _____________________________________________

SUPERVISOR NAME: _______________________________________________________________

EMPLOYED FROM _________________________ TO _______________________________

SALARY _____________________________________________________

REASON FOR LEAVING: ___________________________________________________________

______________________________________________________________________________________

PAST EMPLOYER: __________________________________________________________________

POSITION: __________________________________________________________________________

PHONE NUMBER: _______________________________________

SUPERVISOR NAME: _______________________________________________________________

EMPLOYED FROM _________________________ TO _______________________________

SALARY ______________________________________________________

REASON FOR LEAVING:____________________________________________________________

______________________________________________________________________________________

PAST EMPLOYER: __________________________________________________________________

POSITION: __________________________________________________________________________

PHONE NUMBER: _______________________________________

SUPERVISOR NAME: _______________________________________________________________

EMPLOYED FROM _________________________ TO _______________________________

SALARY ______________________________________________________

REASON FOR LEAVING:____________________________________________________________

______________________________________________________________________________________

PAST EMPLOYER: __________________________________________________________________

POSITION: __________________________________________________________________________

PHONE NUMBER: _______________________________________

SUPERVISOR NAME: _______________________________________________________________

EMPLOYED FROM _________________________ TO _______________________________

SALARY ______________________________________________________

REASON FOR LEAVING:____________________________________________________________

______________________________________________________________________________________

REFERENCES

NAME: _____________________________________________________________________

PHONE NUMBER: _________________________________________________________

EMPLOYER: _______________________________________________________________

RELATIONSHIP: ___________________________________________________________

NAME: _____________________________________________________________________

PHONE NUMBER: _________________________________________________________

EMPLOYER: _______________________________________________________________

RELATIONSHIP: ___________________________________________________________

SKILLS & QUALIFICATIONS

LIST THE DIFFERENT SKILLS AND QUALIFICATIONS YOU HAVE THAT PERTAIN TO THE POSITION YOU ARE SEEKING WITH THIS COMPANY.

______________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I certify that the information I have provided in this employment application is accurate to the best of my knowledge. I understand that providing false information could eliminate the chance for employment with this company. I also authorize all persons, companies and institutions listed on this application to provide information to my potential employer.

___________________________________________ ___________________________

Signed