Employment

Online Application Form

Basic Employee Information

First Name*
Last Name*
Middle Initial

Address

City
State
Zip

Phone#1*
Phone#2
Email*

Do you have a valid NYS Driver’s License?

Yes No

Is your license clean and free of points?

Yes No

Do you have reliable transportation to and from work?

Yes No

Have you been convicted of a Felony?

Yes No

Felony, If yes, to a conviction please explain:

When are you available to start work?
What rate of pay would you like?

Work History & Experience

Current Employer Name
Pay Rate

Address

Contact Person
Phone

What work did you perform?

Former Employer Name
Pay Rate

Address

Contact Person
Phone

What work did you perform?

Specific Landscape Experience Such as: Irrigation Installation, Irrigation Repair Landscape Design, Paver Installation, Heavy Equipment Operation, Customer Service Skills, Raking Level Ground:

By typing you name into this box, you attest that all information on your online application is true and correct.*

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