| First name * |
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| Last name * |
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| Middle name |
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| E-mail * |
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| Number |
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| Street |
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| City |
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| State |
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| Zip code |
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| Date of Birth |
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| Social Security No. |
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| Phone * |
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| Position applied for |
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| Salary desired |
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| Days/hours available to work |
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| Employment desired |
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| Do you smoke? |
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| Wage desired |
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| School attended |
| High School? |
| Did you graduate? |
| College / University? |
| Did you graduate? |
| Business / Trade School? |
| Did you graduate? |
| Other (specify) |
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| Have you ever been convicted of a crime? |
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| If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. |
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| Do you have a valid driver's license? |
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| Are you proficient at pulling a trailer? |
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| What is your means of transportation to work? |
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| Driver's license number |
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| State of issue |
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| Expiration date |
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| Have you had any accidents during the past three years? |
How many? |
| Have you had any moving violations during the past three years? |
How many? |
| Describe landscaping experience ( lawn installations, patios, walkways, maintenance, pruning, planting, retaining walls, etc.) |
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| Describe equipment you are familiar with (Mowers, Trimmers, Hedge Trimmers, blowers, excavator, backhoe, dozer, etc.) |
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| Are you now a member of the national guard? |
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| Specialty |
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| Date Entered |
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| Discharge Date |
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Work Experience Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name. Attach additional sheets if necessary.
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