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APPLICANT INFORMATION

Name
Address
Date Available
Reasonable Accommodation needed?
Reasonable Accommodation needed?
Desired Salary $
Position Applied For
Are you a US Citizen?
If you are not a US Citizen, are you authorized to work in the U.S.?
Have you ever worked for Vision Landscape Services before?
Have you ever been convicted of a felony?

EDUCATION

High School
Address
Diploma
From
To
Did you graduate?
Did you graduate?
College
Address
Degree
From
To
Did you graduate?
Did you graduate?
Other - Please list Certification or Trade School with dates attended

REFERENCES

Please list three professional references:
First and Last Name
Company
Phone Number
First and Last Name
Company
Phone Number
First and Last Name
Company
Phone Number

PREVIOUS EMPLOYMENT

Company
Phone Number
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Date Employed From
Date Employed Ending
Reason For Leaving
May we contact your previous supervisor for a reference?
Company
Phone Number
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Date Employed From
Date Employed Ending
Reason For Leaving
May we contact your previous supervisor for a reference?
Company
Phone Number
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
Date Employed From
Date Employed Ending
Reason For Leaving
May we contact your previous supervisor for a reference?
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

DISCLAIMER AND SIGNATURE

I understand that Vision Landscapes will attempt to verify statements made on my application and made during my employment interview. I give permission to my former employers and personal references, as well as law enforcement officials, to answer any questions and to furnish information concerning my reputation. I release Vision Landscapes and all former employers and my references from liability as a result of the furnishing and receiving of this reference and background information. I understand that false, incomplete, or misleading statements or omissions on this application or any other pre-or post-employment documents, or any verbal misinterpretations, may result in disqualification from further employment consideration or the termination of my employment. I understand that if I am employed by Vision Landscapes, I must conform to the policies and rules of Vision Landscapes and that I will be subject to a 90-day introductory period. I understand that my employment relationship will be at-will and that both Vision Landscapes and I have the right to terminate my employment, with or without cause, and without notice. I understand that my job duties and schedule may change at any time during my employment with Vision Landscapes. I understand that I may be required to work schedules and unscheduled overtime and/or scheduled weekend and holidays when requested by Vision Landscapes. I acknowledge that I may be required to pass a background check before I start to work with Vision Landscapes. If I am allowed to start to work before my full background check is received, the continuation of my employment will depend on a successful background check report. Failing my background check will result in immediate termination. The immigration Reform and Control Act of 1986 requires that after employment or an offer of employment, employers verify the legal work authorization and identity of all new employees. An offer of employment will depend on a successful employment authorization process.