Employment Opportunities

Personal Information  
Last Name:               First Name:                     Middle Initial:
       
Social Security No.:
Address: City:
State: Zip Code:
Other Names Used in School or for Employment
 
Home Phone Number: Alternate Phone Number:
Are you 18 years of age or older:
Are you legally authorized to work in the United States?
Best time to reach you:
Employment Desired
Position Desired
Classification Desired:
Check all that apply
Full-time Part-time Seasonal Winter Summer
Days of work desired:
Check all that apply
Sun Mon Tues Wed Thurs Fri Sat
When are you available to begin working?
Ever applied to D.J.'s Lawn Service, Inc. before?
Rate of desired pay: per hour week year
Do you have any relatives or close friends who currently work for D.J.'s Lawn Service, Inc.?
If yes, please list
Are you employed?
If so, may we inquire of your present employer?
Have you ever been convicted of a criminal offense?
If yes, please explain, include date, place and conviction(s):
Are there any felony charges pending against you?
If yes, please provide place and charge(s):
How did you happen to apply ate D.J.'s Lawn Service, Inc? Please select one and provide specific information:
 
Do you have a current Michigan Driver's License?
Why?
Has your license ever been suspended or revoked?
Why?
Drivers License Number:
Current Number of Points:
Education History
High School
Name, Location, Phone Number of School
Years Attended
Major/Area of Study:
Did you Graduate?
If so, please list your degree:
Grade Point Average:
College
Name, Location, Phone Number of School
Years Attended
Major/Area of Study:
Did you Graduate?
If so, please list your degree:
Grade Point Average:
Other
Name, Location, Phone Number of School
Years Attended:
Major/Area of Study:
Did you Graduate?
If so, please list your degree:
Grade Point Average:
Have you attended any continuing education programs related to the job for which you are applying within the past two years? If so, please list below:
 
 Former Employers (List below last four employers, starting with last one first)
Employer #1
Company Name: Employment Status:
Location: Rate of Pay: per
Supervisor: Reason for Leaving:
Phone Number Are you eligible for rehire?
Date Started: If no, please explain:
Date Ended : May we contact this employer?
Position / Primary Duties If no, please explain:
Employer #2
Company Name: Employment Status:
Location:

Rate of Pay:

 per
Supervisor: Reason for Leaving:
Phone Number Are you eligible for rehire?
Date Started: If no, please explain:
Date Ended : May we contact this employer?
Position / Primary Duties If no, please explain:
Employer #3
Company Name: Employment Status:
Location:

Rate of Pay:

 per
Supervisor: Reason for Leaving:
Phone Number Are you eligible for rehire?
Date Started: If no, please explain:
Date Ended : May we contact this employer?
Position / Primary Duties If no, please explain:
Employer #4
Company Name: Employment Status:
Location:

Rate of Pay:

 per
Supervisor: Reason for Leaving:
Phone Number Are you eligible for rehire?
Date Started: If no, please explain:
Date Ended : May we contact this employer?
Position / Primary Duties If no, please explain:
General Information  
Special Skills:
Why do you believe you are qualified for the position for which you are applying?
Do you have any Service in the U.S. Armed Forces or State Militia?
If yes, please complete below:
Branch:
Dates of Service
Rank on Discharge:
Special skills or training aquired during service:
Reserve Status:
Authorization

I voluntarily give D.J.'s Lawn Service, Inc. the right to make a thorough investigation of my background, current and past employment and education, and credentials and qualifications and I agree to any such investigation(s). I release from all liabilities or responsibility all persons, educational institutions, medical facilities, companies or corporations disclosing and supplying background, employment, educational, credential or qualification related information about me. I waive any rights to notice of such disclosures. I further acknowledge that D.J.'s Lawn Service, Inc. relies upon the accuracy of the information contained in the employment application, as well as the accuracy of other data presented, verbally or in writing, throughout the hiring process and the employment relationship and therefore authorize the above investigations during the hiring process and at any other time during the employment relationship.

I understand that D.J.'s Lawn Service, Inc. is an at-will employer which means that either myself or D.J.'s Lawn Service, Inc. may terminate the employment relationship at any time, with or without a reason, and with or without advance notice. In addition, I understand that I will be subject to a ninety (90) day Introductory Period which is intended as an orientation period and an opportunity for feedback after beginning employment; further, at the conclusion of the Introductory Period, a determination will be made whether the Introductory Period has been satisfactory, will be extended, or the employment relationship will be terminated. I understand that the existence of the Introductory Period in no way alters or changes the at will status of my employment with D.J.'s Lawn Service, Inc.

I understand that, if employed, I will be required to follow and comply with the policies and procedures of D.J.'s Lawn Service, Inc. and that failure to do so may lead to the termination of my employment. I further understand that D.J.'s Lawn Service, Inc. reserves the right to and may at times change, revise, add or delete policies and procedures as necessary, and I will be obliged to conform to such changes.

I understand and agree that D.J.'s Lawn Service, Inc. reserves the right to require an employee to submit to drug or alcohol testing as part of its pre-employment screening and / or during the employment relationship where, in its sole discretion it believes an issue may exist which may be related to my drug or alcohol usage and I consent to submit to drug or alcohol testing as a condition of employment and / or continued employment. I acknowledge that remaining free of illegal drug use is a condition of my employment.

I hereby certify that the above information supplied by me is true and complete. I agree that if employed, discovery of any misrepresentation, falsification, or omission of facts on the Application for Employment or otherwise provided by me shall justify immediate termination of my employment, regardless of the time elapsed before discovery.

Date:
Signature:
(please type in your name for signature)