Name *
Cell Phone Number *
Address *
City
State
Zip
Email Address *
Are you legally able to work in the United States? YesNo
Are you 18 years old or older? YesNo
Desired Position
When can you start work?
Pay Expected
Do you have a valid driver's license? YesNo
Driver's License #
Expiration Date
List any moving violations in the last 5 years:
Have you ever been employed with us before? YesNo
When
Have you ever applied with us before? YesNo
Have you ever been convicted of a felony? YesNo
If yes, please explain
List all languages spoken fluently
In case of emergency, who should we contact Name
Relationship
Phone
Address
Education Information School Name and location
Highest Level completed
Subjects Studied
Certifications (Industry, Heavy Equipment, etc)
Experience
Employment History (Most Recent First) List the last 3 relevant jobs, company name, supervisor, position, telephone number, job responsibilties
Employer 1
Employer 2
Employer 3
Describe any specialized Landscape related training, apprenticeship, or job related skills If none, list "None"
List name and telephone number for three business/work references that are not related to you.
Name
Years Known
Phone Number
How do you know this person?
How did you learn about us?
Please read carefully before signing. If you have any questions regarding the following statements, please ask for assitance.
This application for employment shall be active for a period of 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge an employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing.
I represent and affirm that I have read and fully understand the foregoing and seek employment under these conditions.
“I understand that if employment is offered, my employment may be conditioned upon the results of a medical examination to ensure my ability to perform the essential functions of the job and that as a condition of employment I will be required to take drug and alcohol screening tests and such medical examinations as may be required by Rockford Hardscapes, including physical examination. I agree to submit to these required tests and understand that becoming employed and/or my continued employment are conditional upon the successful passing of these tests in accordance with Company policies and procedures, given reasonable accommodations in accordance with the Americans with Disabilities Act.
I understand that if I am emloyed, any misrepresentation or material omission made by me on this application will be the basis for cancellation of this application or immediate discharge from the employer's service, whenever it is discovered.
I give the employer the right to contact and obtain information from all references, employers, and educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information.
The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on any basis prohibited by local, state or federal law.
I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application of employment as may be necessary in arriving at an employment decision.
I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
I acknowledge that I have read and completed the entire application
(616) 747-0047
hello@rockfordhardscapes.com