Online Application


Personal Information Complete all applicable information (items marked with * are required)
First Name*:
Last Name*:
Middle Initial:
Positions Applied For:
Are You Willing to Work: Full Time Part Time Temporary
Weekends Evenings Nights

Street Address*:
City*:
State*:
Zip*:
Home Phone*:
Business Phone:
Email Address:
Have you previously been employed by our company?:
Where?
Are you legally authorized to work in the United States?:
When could you start employment?:
Have you ever applied for employment with our company?:
When?
Where?
Have you ever been convicted of a felony?:
Explain

Employment History (List below last three employers, starting with the most recent one first)
Present or Last Position :
Name of Company:
From Mo/Yr:
To Mo/Yr:
Street Adress:
City:
State:
Zip:
Duties:
Reason for Leaving:
Starting Annual Salary:
Final Annual Salary:
Bonus:
Commision:
May we contact your supervisor?:
Name of Supervisor:
Title and Department of Supervisor:
Phone Number of Supervisor:
Next Previous Position:
Name of Company:
From Mo/Yr:
To Mo/Yr:
Street Adress:
City:
State:
Zip:
Duties:
Reason for Leaving:
Starting Annual Salary:
Final Annual Salary:
Bonus:
Commision:
May we contact your supervisor?:
Name of Supervisor:
Title and Department of Supervisor:
Phone Number of Supervisor:
Next Previous Position:
Name of Company:
From Mo/Yr:
To Mo/Yr:
Street Adress:
City:
State:
Zip:
Duties:
Reason for Leaving:
Starting Annual Salary:
Final Annual Salary:
Bonus:
Commision:
May we contact your supervisor?:
Name of Supervisor:
Title and Department of Supervisor:
Phone Number of Supervisor:

Education Information
High School or GED:
Address:
City:
State: Degree:
Subjects Studied:
College:
Address:
City:
State: Degree:
Major: GPA:
College:
Address:
City:
State: Degree:
Major: GPA:
Graduate School :
Address:
City:
State: Degree:
Major: GPA:
Other:
Address:
City:
State: Degree:
Major: GPA:

General
Additional Space (if needed):
If applying for a crew leader/driver position:
Do you have a valid driver's license?:


What specific training have you had?:
If applying for a general office position:
Do you have computer skills?:
Words/Minute:
Accounts Receivable Skills?:
Accounts Payable Skills?:
In what computer software programs are you proficient? [Name the package(s)]

Please read the following statements carefully:

In consideration of my employment, I agree to conform to the policies and procedures of Southland Landscape Corporation. I understand that in accepting this application, Southland Landscape Corporation is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed, I understand that I am employed at will and that my employment and compensation can be terminated with or without cause, and with or without notice at any time.

I certify that the facts contained in this application are true and complete to the best of my knowledge. understand that any falsified statements on this application or omission of fact on either this application or during the pre-employment process will result in my application being rejected, or, if I am hired, in my employment being terminated.

I understand that this application is valid for ninety (90) days from the date I sign it. If I expect consideration beyond that date, I understand it is necessary to resubmit another completed application.

I also understand that any offer of employment is conditioned on the completion of pre-employment background checks, drug screens, tests and documentation. I will, upon request, sign all necessary consent forms.



 

 

© 2008 Southland Landscape Corporation. All rights reserved.