Employment Application:

All information provided here will be in strict confidence.

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital, or veteran status, the presence of a non-job-related medical condition or handicap or any other legally protected status.

Phone

Last Name

First Name

Address

City

State

Zip

Recent Work History

Earnings Expected

Company Name

Company Address

Type of Business

Job Title

Employed From (Date)

Employed To

Salary

Nature of Work

Supervisory Responsibility

Immediate Supervisor

What did you most like about your job?

What did you least enjoy?

Reason you left your job?

Check if you are under 18 years of age.

Other positions held:

Company	Type of Work	Date Began	Date Left
		*	*
		*	*
		*	*

Have you had any lawn or tree care experience?

Yes

If so, describe:

Physical Data:

Condition of Health:

What physical handicaps or limitations do you have that would affect your job performance?

Have you been convicted of a felony within the last 7 years?

Yes

(Conviction will not necessarily disqualify applicant for employment.) If yes, please explain:

What days of the week are you available?

What hours are you available?

Do you have good transportation?

Yes

List Two References:

Name	Relationship	Phone

I agree, in consideration of my employment, to conform to the rules & policies of the
employer, & that my employment can be terminated, with or without cause, at any time,
at the option of either the employer or myself. I understand that no representitive of the
employer, other than the personnel manager or president has any authority to enter into
any agreement for employment for any specific period of time, or to make any other agreement.

I give my written consent for Outdoor Services Inc to obtain a copy of my driving record at company expense, should such record be requested for employment purposes. In order to obtain this information I am releasing the following information:

Date of Birth:	Driver License Number:	Signature
		*

OUTDOOR SERVICES INC., IS A NON-SMOKING BUSINESS.
NOTE: If hired, you will need to present your driver's license & social security card.

Employment Application:

Bismarck/Mandan

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