Employment Application Position Applied For: Email (required) Your Name (required) Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zipcode Phone Date of Birth Driver's License # How did you learn about us? AdvertisementFriendWalk InEmployment AgencyRelativeOther If you are under 18 years of age, can you provide required proof of your eligibility to work? YesNo Have you ever been employed with us before? YesNo If yes, give date. Leave blank if no. On what date would you be available for work? Are you available to work: Full TimePart TimeShift TimeTemporary Can you travel if a job requires it? YesNo Have you been convicted of a felony within the last 7 years? Conviction will not necessarily disqualify an applicant from employment YesNo If yes, please explain, leave blank for no: Education Please list the schools name, address, course of study, years completed, and display degree for each school in the appropriate school field Elementary School: High School: Undergraduate College: Graduate Professional: Other (Specify): --------------------------- Indicate any foreign languages you can speak, read and or write --------------------------- Describe any specialized training, apprenticeship, skills, and extra-curricular activities. Describe any job-related training received in the United States military. --------------------------- Employment Experience Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status. Employer: Telephone: Address: Job Title: Supervisor: Dates Employed: to Hourly Rate/Salary: Starting: to Reason for Leaving? ---------------------------- Employer: Telephone: Address: Job Title: Supervisor: Dates Employed: to Hourly Rate/Salary: Starting: to Reason for Leaving? ---------------------------- Employer: Telephone: Address: Job Title: Supervisor: Dates Employed: to Hourly Rate/Salary: Starting: to Reason for Leaving? ---------------------------- Employer: Telephone: Address: Job Title: Supervisor: Dates Employed: to Hourly Rate/Salary: Starting: to Reason for Leaving? ---------------------------- Additional Information Other Qualifications Summarize special job-related skills and qualifications acquired from employment or other experience Check Skills/Equipment Operated: Production/Mobile Machinery (list): Other (list): State any additional information you feel may be helpful to us in considering your application. ------------------------------ References 1) 2) 3) ------------------------------ APPLICATION FORM WAIVER In exchange for the consideration of my job application by Morin’s Landscaping (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Morin’s Landscaping or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the owner of the Company. Both the undersigned and Morin’s Landscaping may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for possible pre-employment testing as well as random and /or periodic testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I further understand that my employment with the Company shall be probationary for a period of thirty (30) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business. Accept