Job Application Form

PERSONAL INFORMATION:

Please fill in all information fields below, applications missing important information will not be considered.

Name / Last: First:

Phone Number: ( ) -

Address: City:

State: Zip Code:

Email: Social Security Number:

Position Applied For: Date you can start:

How did you hear about this opening:


Are you looking for full time employment / YES: NO:
(Type an X next to correct answer.)

If no, what hours are you available?:

Have you ever been convicted of a felony / YES: NO:
(Type an X next to correct answer.)

If yes, please fully describe the circumstances:


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EDUCATION & QUALIFICATIONS:

High School Name:
 Location:
 Did you graduate / YES:
Did you graduate / NO: 		How many years did you attend:
College Name: Location: Did you graduate / YES:
Did you graduate / NO:		 How many years did you attend:
Other Institution Name: Location: Did you graduate / YES:
Did you graduate / NO:		 How many years did you attend:


Please list other skills, qualifications or experience we should consider:

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EMPLOYMENT HISTORY: (Start with most recent employer)

Company Name 1:

Address: Telephone:

Date Started: Starting wage $ Starting Position:

Date Ended: Ending Wage $ Ending Position:

Name Of Supervisor:

May We Contact / YES: NO: (Type an X next to correct answer.)

Responsibilities:

Reason For Leaving:

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Company Name 2:

Address: Telephone:

Date Started: Starting wage $ Starting Position:

Date Ended: Ending Wage $ Ending Position:

Name Of Supervisor:

May We Contact / YES: NO: (Type an X next to correct answer.)

Responsibilities:

Reason For Leaving:

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Company Name 3:

Address: Telephone:

Date Started: Starting wage $ Starting Position:

Date Ended: Ending Wage $ Ending Position:

Name Of Supervisor:

May We Contact / YES: NO: (Type an X next to correct answer.)

Responsibilities:

Reason For Leaving:


Please Read The Following Carefully. If you agree to comply with this statement, then please sign your name
and write in today's date below.

"I certify that the facts set forth in this application for employment are true and complete to the best of my
knowledge. I understand that if I am employed, false statements on this application shall be considered
sufficient cause for dismissal. This company is here by authorized to make any investigations or my prior
educational and employment history. I understand that employment at this company is "at will," which
means that either I or this company can terminate the employment relationship at any time, with or without
prior notice, and for any reason not prohibited by statue. All employment will continue on that basis. I
understand that no supervisor, manager, or executive of this company, other than the president has the
authority to alter the foregoing."

Please Note: It is our policy to provide equal employment opportunity to all qualified persons without regard
to race, creed, color, religious belief, sex, age, national origin or ancestry.

Signature: Date:

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T&J's landscaping capabilities and common sense approach really made our new homes exterior amazing. We are really happy with the finished product and would recommend them to any of our friends.

Lewis & Carmen H. 
St. John, IN