Application

Fields with an asterisk (*) are required.

Personal:


* Address:

* City: * State: * Zip:

* Phone: Alternate Phone:

Emergency Contact:

Phone Number:


If hired, I agree to random drug and/or alcohol testing to comply with Evergreen Landscape and Sprinkler Co. policy. Consumption of alcoholic beverages and/or consumption, sale or possession of illegal drugs on the job is prohibited. Reporting to work under the influence of alcohol and/or illegal drugs is also prohibited.


Are you over 18 years of age or older?


Do you have a valid Driver's license?


If so: State License Number: Exp. Date:

Ever been convicted of a crime other than a traffic violation?


Date you are available to start: Desired wage:

Days and hours available to work:




Education:
High school:

College:

Trade:




Employment History:
List last three employers, dates of employment, position and wage.

Employer
Date of
Employment

Position

Wage
1.







2.






3.







List references, name, position, and phone number.

Reference

Position

Phone Number
1.





2.





3.








Any relevant landscape experience special skills.


Why do you wish to work for Evergreen Landscape?


By submitting this application, I certify that the information I have provided in this application is true and complete. Any misrepresentations or falsifications are grounds for the cancellation of this application or, if I have been hired, termination of my employment.

I authorize Evergreen Landscape to investigate all statements contained in this application. I authorize all parties listed in this application to give for Evergreen Landscape information about my background, and release Evergreen Landscape from liability for any damage that may result from the release or use of such information. If I am hired, I understand that my employment can be terminated, with or without cause, at any time by either Evergreen Landscape or myself. I also understand that no representative of Evergreen Landscape has the authority to enter into any agreement to the contrary.




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Call 970.493.0588.
P.O. Box 2146
Fort Collins, CO 80522
info@evergreenlandscape.biz