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Total Landscape Solutions Employment Application
Programs, services and employment are equally available to everyone. Please inform us if you require reasonable accommodation for the application or interview.
*All fields marked with an
a
sterisk
are required to complete application.
Accommodation Request
*
Provide details of your request
Applicant Data
*
Indicates required field
Position Applied For:
*
Date Available To Start Work
*
Social Security Number
*
Required Starting Salary
*
First Name
*
Middle Name
*
Last Name
*
Your Address
*
Line 1
Line 2
City
State
Zip Code
Country
Main Phone Number
*
Alternate Phone Number
*
Email
*
Type of employment desired:
*
Select
Full-time
Part-time
Seasonal
Temporary
Are you legally allowed to work in the United States?
*
Select
Yes
No
Are you are under 18 years of age?
*
Select
Yes
No
If under 18, can you provide a work permit? If no, please explain below
*
Select
Yes
No
Work Permit Explination
*
If your answer to the above is No, please explain.
Have you ever pleaded guilty, no contest or been convicted of a crime? If yes, give dates and details.
*
Select
Yes
No
Plea/Conviction Dates and Details
*
If you answered Yes to the above, Explain.
Answering yes to these question does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Driver's license number (if applicable to position)
*
State
*
State that issued your Driver's License. eg. MI for Michigan
Summarize Your Special Skills or Qualifications
My Special skills & Qualifications:
*
Previous Employment
(Begin with most recent position)
Company 1
Dates of employment:
Start
*
End
*
Position(s) Held
*
Company Name
*
Company Phone Number
*
Company Address
*
Line 1
Line 2
City
State
Zip Code
Country
Starting Salary
*
Ending Salary
*
Supervisor's Name & Title
*
Your Job Responsibilities/description
*
May we contact this employer for a reference?
*
Select
Yes
No
Reason For Leaving
*
Tell us why you left this employer
Company 2
Dates Of Employment:
Start
*
End
*
Position(s) Held
*
Company Name
*
Company Address
*
Line 1
Line 2
City
State
Zip Code
Country
Company Phone Number
*
Supervisor's Name & Title
*
Your Job Responsibilities/description
*
Starting Salary
*
Ending Salary
*
May we contact this employer for a reference?
*
Select
Yes
No
Reason For Leaving
*
Tell us why you left this employer
Company 3
Dates Of Employment:
Start
*
End
*
Position(s) Held
*
Company Name
*
Company Address
*
Line 1
Line 2
City
State
Zip Code
Country
Company Phone Number
*
Supervisor's Name & Title
*
Your Job Responsibilities/description
*
Starting Salary
*
Ending Salary
*
May we contact this employer for a reference?
*
Select
Yes
No
"By submitting this electronic employment application, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the forgoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."
Signature and Date of application:
Have a resume? Attach it here
*
Max file size: 2MB
Electronic Signature (I have read, understand and agree to the paragraph above)
*
Enter Your Name
Today's Date:
*
Submit Application
