Employment Application English | LMI Landscapes Inc

Instructions: Fill in all information requested, even if attaching a resume.

Name*
First Name Middle Name Last Name
Address Section
Address*
Address City State Zip Code
Phone Numbers Section
Daytime Phone*
Evening Phone*
Applicant Information
Email*
Social Security Number*

Position applying for:*

Minimum Salary Requirements:*

Employment desired:*

Fulltime
Part-time
Seasonal/Temporary
Internship

How did you hear about us Section

How did you hear about us?:

Experience

Employment Experience

Start with your present or most recent employment

- Employment Dates Month/Year
- Employment Dates, FROM:*
- Employment Dates, To:*
- Reason For leaving*
- Place of Employment
- Name*
- Phone*
- Address*
- Supervisor's Name*
- Salary
- Start*
- Final*
- Position/ Type of Work
- Position:*
- Type of Buisness*

Previous Experience

- Employment Dates Month/Year
- Employment Dates, FROM:*
- Employment Dates, To:*
- Reason For leaving*
- Place of Employment
- Name*
- Phone*
- Address*
- Supervisor's Name*
- Salary
- Start*
- Final*
- Position/ Type of Work
- Position:*
- Type of Buisness*

Previous Experience

- Employment Dates Month/Year
- Employment Dates, FROM:*
- Employment Dates, To:*
- Reason For leaving*
- Place of Employment
- Name*
- Phone*
- Address*
- Supervisor's Name*
- Salary
- Start*
- Final*
- Position/ Type of Work
- Position:*
- Type of Buisness*

Have you ever been discharged or requested to resign from a position?*
- Yes
- No
Explain:*
May we contact your present or previous employer(s)*
- Yes
- No
Have you held a position requiring trust (ex. Handling money, confidential information,etc)?*
- Yes
- No
Explain*

Education Section

Education

- High School
- High School Name & Location*
- High School Years Completed*
- High School Degree Earned*
- High School Course of study*
- College
- College Name & Location*
- College Years Completed*
- College Degree Earned*
- College Course of study*
- Graduate School
- Graduate School Name & Location*
- Graduate School Years Completed*
- Graduate School Degree Earned*
- Graduate School Course of study*
- Other
- Other Name & Location*
- Other Years Completed*
- Other Degree Earned*
- Other Course of study*

Personal Certification

Professional Certifications

Please indicate the Professional Certification you have or are in the process of completing

Type*
Date Completed*
Other*

Type*
Date Completed*
Other*

References Section

References

Provide Refrences that are not relatives or friends-please provide names of at least 2 direct supervisors for whom you worked with:

Name*
Telephone*
Title*
Years Known*

Name*
Telephone*
Title*
Years Known*

Have you ever been convicted of any serious misdemeanor, felony or pleaded nolo contender, had adjudication withheld, but not limited to any criminal offense?*

Yes
No

Note: Answering "Yes" to the question above does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.

Certification & Agreement Section

Certification & Agreement

Please read the following statements carefully before signing.

As part of LMI Landscapes Inc. employment procedures, a routine background investigation may be made by an independent consumer- reporting agency. As part of this background investigation, I agree to the following, If requested:

To have my credit record checked for employment purposes
To have my driving record checked for employment purposes
To have a criminal record history check
To submit to a test for the presence of drugs, narcotics or alcohol
To allow a verification of previous employment and personal references
Provide copies of professional certifications, educational transcripts and/or degrees

I understand that these procedures could take place prior to, or at any time subsequent to my employment, while employed by LMI Landscapes Inc. If the background or any subsequent investigation discloses any misrepresentation or falsification on the application form or information indicating that I am not suited for employment with LMI Landscapes Inc., I will be refused employment or if already employed, terminated.

I understand and agree that, if hired, my employment with LMI Landscapes Inc. is AT WILL and for no definite period and I may be terminated at any time for any reason with or without notice (unless required by law). Please Initial Here:

Please Initial:

I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably.

I understand that according to federal law, all individuals who are hired must, as a condition of employment, produce certain documents to verify their identity and their legal authorization to work in the U.S. Therefore, I understand that any offer of employment is contingent on my ability to produce the required documentation within the time period required by law. I also understand that if my immigration or work authorization status changes after I begin work so that I am no longer able to continue to work in the U.S., I will advise LMI Landscapes Inc. Corporate Office immediately

Please note that applications for employment are considered to be active for a period of 6 months. After this period of time, it will be necessary for you to file a new application form if you still wish to be considered for employment at LMI Landscapes Inc.

I hereby authorize, without reservation, any part or agency contacted by this employer to furnish the above-mentioned information and further authorize ongoing procurement of the above-mentioned reports at any time during my employment. Copies of this authorization are as valid as the original document.

I acknowledge that I have read and understand the above statements.

Signature:*
Print Name*
Social Security Number*
Date*

LMI Landscape Inc. is an Equal Opportunity Employer and Drug-Free Workplace

Address Section

Phone Numbers Section

Applicant Information

How did you hear about us Section

Experience

Employment Experience

Previous Experience

Previous Experience

Previous Experience

Previous Experience

Education Section

Education

Personal Certification

Professional Certifications

References Section

References

Certification & Agreement Section

Certification & Agreement

I acknowledge that I have read and understand the above statements.