A.V. Garden and Turf

Statement and Authorization

PLEASE READ AND UNDERSTAND THIS STATEMENT BEFORE CLICKING ON THE SUBMIT BUTTON:

The information I have provided in this Application for Employment is true, correct and complete. False, incomplete, or misrepresented information of any kind will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employers, educational institutions, and "reference" I provided, and many other party necessary to verify accuracy of information I disclosed in this applications, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.

This application is not an employment agreement. If I accept an offer of employment, I understand the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such office.

By clicking on the submit button, I fully understand and accept all terms and conditions in the above Statement and Authorization.

Personal
Name	Last: First:
Street Address
City
State
Zip
Home Phone
Work Phone
Email Address
Social Security #
Drivers License	Number: State:
Pay Expected
Have you ever applied for employment with us? Yes No
Are you 18 years of age or older? Yes No
Position Desired:
Apart from absence for religious observations, are you available for full-time work? Yes No If not, what hours can you work?
Are you legal eligible for employment in the United States? Yes No
Have you been convicted of any crimes in the past ten years, excluding misdemeanors and summary offenses, which have not been annulled, expunged or sealed by a court? Yes No If yes, describe in full:
Will you work overtime if asked? Yes No
Have you ever been bonded? Yes No
When will you be available to begin work?
Describe any special training or skills (languages, machine operation, etc.):

Education
School	Name and Location of School	Course of Study	No. of Years Completed	Did you Graduate?	Degree or Diploma
College				Yes No
Business/ Trade/ Technical				Yes No
High School				Yes No
Elementary				Yes No

Employment Please give accurate, complete full-time and part-time employment history. Start with your present or most recent employer.
1
	Company Name
	Address
	Telephone
	Name of Supervisor
	Employed (month / year)	From:	/	To:	/
	Weekly Pay	Start:		Last:
	State Job Title and Describe Your Work
	Reason for Leaving

2
	Company Name
	Address
	Telephone
	Name of Supervisor
	Employed (month / year)	From:	/	To:	/
	Weekly Pay	Start:		Last:
	State Job Title and Describe Your Work
	Reason for Leaving

3
	Company Name
	Address
	Telephone
	Name of Supervisor
	Employed (month / year)	From:	/	To:	/
	Weekly Pay	Start:		Last:
	State Job Title and Describe Your Work
	Reason for Leaving

4
	Company Name
	Address
	Telephone
	Name of Supervisor
	Employed (month / year)	From:	/	To:	/
	Weekly Pay	Start:		Last:
	State Job Title and Describe Your Work
	Reason for Leaving

	We may contact the employers listed above unless you indicate those you do not want us to contact.
	DO NOT CONTACT	Employer Number(s): Reason:

Military
Did you serve in the U.S. Armed Forces?	Yes No	If "yes," in what branch?
Describe any training received relevant to the position for which you are applying.

Additional Information
Membership in professional and civic organizations, special accomplishments, awards, etc. (Exclude those which may disclose your race, color, religion, age, or national origin.)