employment-application

Olivera Landscaping

63 West State Street, P.O. Box 309

Granby, MA 01033

Olivera Landscaping is an Equal Opportunity Employer and is committed to excellence through diversity.

This application must be completed fully to be considered. Please complete each section.

Application for Employment

Personal Information

Last Name

First Name

Address

City

State

Zip Code

Phone #

Cell #

Email Address

Are you a U.S. Citizen?

YES NO

Have you ever been convicted of a felony?

YES NO

If selected for employment, are you willing to submit to a pre-employment drug screening test?

YES NO

Position

Position Applying For

Start Date

Desired Pay

Employment Desired

Full Time Part Time Seasonal/ Temp

Education

School Name

Location

Yrs Attended

References

Name

Company

Title

Phone Number

Name

Company

Title

Phone Number

Employment History

Employer-1

Job Title

Dates Employed

Work Phone

Starting Pay Rate

Ending Pay Rate

Employer-2

Job Title

Dates Employed

Work Phone

Starting Pay Rate

Ending Pay Rate

Additional Comments

Signature Disclaimer

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.

My initials typed below are my electronic signature.

Date

Full Name

Initials