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Employment Application

Employment Application

To apply for a position with Rothwell Landscape, fill out the form below and then click "Send" at the bottom of the page.

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Select the department in which you would like to work

Landscape

Irrigation

Maintenance

Maintenance

Other

Last Name:

First Name:

Address:

City:

State:

Zip:

Phone:

Email:

Are you currently employed?:

Yes

No

Are you legally eligible for employment in the US?:

Yes

No

Have you ever filled out an application with us?:

Yes

No

Have you ever been employed by us?:

Yes

No

Employment type desired?:

Full Time

Part Time

Have you been convicted of a crime in the last 7 years?

Yes

No

If yes, please explain:

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Conviction will not necessarily be a bar to employment, each instance and explanation will be considered in relation to the position for which you are applying.

Desired hourly pay range:

Do you have a valid driver's license?:

Yes

N

Driver's License Number:

D/L Expiration Date:

D/L State:

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Have you had any moving violations while driving in the past three (3) years? (Example: speeding tickets, accidents)

Moving Violations:

Yes

No

If yes, please explain:

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Educational Background - Please provide YEARS COMPLETED, DID YOU GRADUATE, COURSE OF STUDY

High School:

College:

Other Education:

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Work Schedule - Please fill in the days and times you ARE able to work (please specify a.m. or p.m.)

Monday From / To:

Tuesday From / To:

Wednesday From / To:

Thursday From / To:

Friday From / To:

Saturday From / To:

Sunday From / To:

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Employment History - Please provide the following information for your past three (3) employers, assignments or volunteer activities, beginning with the most recent.

1. Employment Dates From / To:

1. Employer Name and Address:

1. Employer Phone #:

1. Job Title:

1. Reason for Leaving:

1. Immediate Supervisor & Title:

1. Pay Rates - Starting / Ending:

1. Job responsibilities & work performed:

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Previous Employment 2:

2. Employment Dates From / To:

2. Employer Name and Address:

2. Job Title:

2. Reason for Leaving:

2. Immediate Supervisor & Title:

2. Pay Rates - Starting / Ending:

2. Job responsibilities & work performed:

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Previous Employment 3:

3. Employment Dates From / To:

3. Employer Name and Address:

3. Job Title:

3. Reason for Leaving:

3. Immediate Supervisor & Title:

3. Pay Rates - Starting / Ending:

3. Job responsibilities & work performed:

Additional Skills and Qualifications:

Driving Experience (professional):

Are you over 18?:

Yes

No

The position requires you to be able to lift heavy objects (up to 80 lbs.) repeatedly throughout the day. Are you capable of doing this?

Yes

No

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Do you have any previous injuries that would interfere with these types of tasks?

Previous Injuries:

Yes

No

If Yes, please explain:

The work day will begin between 7:00 and 8:00AM each day and will end anywhere between 4:00 and 7:00PM. Will this be okay?

Yes

No

Can you be on time each day and be dependable to work the full term that each day requires?

Yes

No

Do you have any obligations that would require you to be gone all or part of any day within the next 30 days?

Yes

No

If Yes, please explain:

The position requires you to work outside in the elements (hot and cold weather, light rain, etc.) Will this be okay?

Yes

No

If offered a job what is your available starting date?:

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How did you hear about an employment opportunity at Rothwell Landscape, Inc.?

Heard From:

If other, please specify:

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By typing my name below, I agree that I have read and fully understand the terms of employment and seek employment under these conditions.

*Signature:

Thank you for contacting us.
We will get back to you as soon as possible.

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1607 Fair Lane Manhattan, KS 66502

Phone: 785.539.1799

Junction City Phone: 785.238.2647

Fax: 785.539.1794

Email: contactus@rothwelllandscape.com

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