Section 1:        Position(s) applying for

                        Supervisor Irrigation Foreman Landscape Foreman Maintenance Foreman Hardscape Foreman Irrigation Technician General Laborer

Section 2:       Personal Information (*required fields)

Last name*       

First name*       

Address*          

City*:                

State*:              

Zip Code*:         

Telephone*:        

Email*:              

Are you 18 years old or older?    Yes    No

Section 3:        Education

Type of           Name of School                      Location of School                  # of years         Last Year              Graduate?

 school                                                          (City and State)                     Attended          Attended   

Grade                                     Yes    No

High                                       Yes    No

Trade                                      Yes    No

Other                                      Yes    No

Section 4:        Related Experience  Do you have experience with the following equipment, tools, services, etc?  If yes, please briefly explain:

Commercial Mowers                      Yes       No

Bobcats / Excavators / Loaders      Yes       No

Pulling an equipment trailer            Yes       No

Hydroseeder                                 Yes       No

Mulchblower                                 Yes       No

Pipe puller                                    Yes       No

Overseeders / Aerators                  Yes       No

Snow Plows                                  Yes       No

Snow Blowers                               Yes       No

Other Landscape / Irrigation Equip. Yes       No

Section 5:  Specialized Training or Skills

List any qualifications, certifications and licenses which you feel may especially qualify you for the position for which you are applying (include seminars, areas of research, special awards and professional memberships.

Section 6:    Employment History  List all employment including self employment, summer, part time and full time military service.  You may also include any work performed on a volunteer basis.  Start with the present or most recent employer.

      1.    Date of Employment   

             Company Name         

             Company Address      

             Company Telephone   

             Position                     

             Salary                       $.00 / Week Month Year

             Duties                        

     2.    Date of Employment     

             Company Name          

             Company Address       

             Company Telephone    

             Position                      

             Salary                        $.00 / Week Month Year

             Duties                         

         3.    Date of Employment   

             Company Name            

             Company Address         

             Company Telephone      

             Position                        

             Salary                          $.00 / Week Month Year

             Duties                           

         4.    Date of Employment   

             Company Name            

             Company Address        

             Company Telephone     

             Position                       

             Salary                         $.00 / Week Month Year

             Duties                          

Section 7:    References

Are you willing to have your past or present employer(s) contacted regarding your qualifications and work performance?      Yes    No

    If no please explain

Give the names of at least three persons, other than relatives, who are familiar with your character, job qualifications and work performance to provide information about you.  Be sure to include complete addresses and phone numbers of references.

    1. Name / Relation  

        Address             

        Phone                

    2. Name / Relation  

        Address             

        Phone                

    3. Name / Relation  

        Address             

        Phone                

Section 8:        Other Information  Use this area for additional information you may want to provide

Section 9:        Attachments

    If you would like to attach a copy of your resume to this application please do so here.   

Section 10:        Certification  Please read the following

    A.  I certify that there are no misrepresentations, omissions or falsifications in the foregoing statement and answers, and that the entries made by me are true, complete and correct to the best of my knowledge and belief.  I understand that non-compliance with this certification will result in rejection of my application or, if i am already employed, immediate discharge from employment.

    B.  Failure to follow directions and complete all sections of this application is grounds for immediate dismissal from the recruitment process.

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

      I agree with above statement

      I disagree with the above statement.