Employment Application Personal InformationName* First Last Email* Enter Email Confirm Email Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ResumeMax. file size: 2 MB.Position Applying For* How did you hear about us?* If you are under the age of 18, can you furnish a work permit?* Yes No Are you legally permitted to work in this country?* Yes No If the job desired requires the use of a motor vehicle, do you have a valid driver's license?* Yes No If the job desired requires the use of a commercial driver's license, do you have a valid commercial driver's license?* Yes No Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?* Yes No Have you ever pled "guilty" to or been convicted of a crime or do you have any criminal charges pending?* Yes No Answering "yes" to the question does not constitute an automatic bar to employment unless there is a substantial relationship to the circumstances of the job applied for.Desired Start Date* Month Day Year Desired Salary Are you employed now?* Yes No May we contact your present employer?* Yes No Have you ever applied to CK Lawn before?* Yes No Date of previous application Month Day Year Education / TrainingThis information will be used only where relevant and to assist in determining what positions might be appropriate for consideration.High School - Name and Location Number of Years AttendedPlease enter a number from 0 to 6.Did you Graduate? Yes No Areas of study College - Name and Location Number of Years AttendedPlease enter a number from 0 to 10.Did you Graduate? Yes No Areas of study Trade School - Name and Location Number of Years AttendedPlease enter a number from 0 to 6.Did you Graduate? Yes No Areas of study Please describe any other training or apprenticeship programs you consider relevant to the position for which you are applying.Work ExperienceStart with your current or most recent job. Provide complete information. Please include self-employment and military service. Show any changes in job title for the same employer as separate position(s).Current Employer* Job Title* Job Duties*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Supervisor Name* Employement Start Date* Month Day Year Employment End Date* Month Day Year Salary*Would You Like to Add An Additional Employer?* Yes No Employer Name* Job Title* Job Duties*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Supervisor Name* Employement Start Date* Month Day Year Employment End Date* Month Day Year Salary*ReferencesPlease do not list relatives.Please provide at least three references.*NameAddressPhoneEmployerYears Known Authorization, Release and CertificationAuthorization, Release and Certification (1 of 5)* I HEREBY CERTIFY that the answers given by me to the above questions and statements, and in the process of my application are true and correct. It is understood and agreed that any misrepresentation, false statement or omissions by me in this application or in the application process will be sufficient reason for rejection of my application or dismissal at any time during my employment, without liability to CK Lawn. I understand that any offer of employment may be contingent upon a check of the above stated references and hereby give permission to the employer to seek to verify and supplement the information set forth in this application. I release every person seeking or providing information, whether oral or written, from all liability or legal claims. A photocopy of this release shall be as valid as the original, and may be relied upon by all persons providing information. I have read, understood, and agree to the above statement Authorization, Release and Certification (2 of 5)* If I am hired, I understand that I am free to resign at any time, with or without cause and the CK Lawn reserves the same right to terminate my employment at any time, with or without cause, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I further understand that no supervisor or representative of CK Lawn. is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the forgoing language are valid unless they are in writing and signed by the president or CEO of CK Lawn. I have read, understood, and agree to the above statement Authorization, Release and Certification (3 of 5)* I understand that this application remains current for only 90 days. At the conclusion of that time, if I have not heard from CK Lawn and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. I have read, understood, and agree to the above statement Authorization, Release and Certification (4 of 5)* I certify that I have read (or have had read to me) and understand this authorization, release, and certification. NameThis field is for validation purposes and should be left unchanged.
