APPLICATION FOR EMPLOYMENT SPOSATO LANDSCAPE, INC
APPLICATION FOR EMPLOYMENT
SPOSATO LANDSCAPE, INC. – AN EQUAL OPPORTUNITY EMPLOYER
PRE-EMPLOYMENT QUESTIONNAIRE
PERSONAL INFORMATION
NAME (LAST / NAME / FIRST) SOCIAL SECURITY NO.
/ /
PRESENT ADDRESS APT. NO. CITY STATE
ZIP
DESIRED EMPLOYMENT
POSITION / SALARY DESIRED DATE YOU CAN START SALARY DESIRED
/ /
ARE YOU EMPLOYED NOW? IF SO, MAY WE INQUIRE OF YOUR
YES NO PRESENT EMPLOYER? YES NO
EVER APPLIED TO THIS COMPANY BEFORE? WHERE? WHEN?
YES NO
EVER WORKED FOR THIS COMPANY BEFORE? WHERE? WHEN?
YES NO
REASON FOR LEAVING:
NAME OF LAST SUPERVISOR AT THIS COMPANY:
WHO REFERRED YOU TO THIS COMPANY?
EMPLOYMENT AGENCY NEWSPAPER ADVERTISING FRIEND
LEVEL NAME & LOCATION OF SCHOOL YRS ATTENDED GRADUATE? SUBJECTS
HIGH SCHOOL
COLLEGE
TRADE/BUSINESS/
CORRESPONDENCE
SCHOOL
SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK
SPECIAL TRAINING OR SKILLS
(LIST BELOW LAST THREE EMPLOYERS, STARTING WITH THE MOST RECENT ONE FIRST)
NAME OF PRESENT EMPLOYER
STARTING DATE
WEEKLY STARTING SALARY WEEKLY FINAL SALARY MAY WE CONTACT YOUR SUPERVISOR?
NAME OF SUPERVISOR TITLE PHONE
__________________________ ________________________ _____________________
DESCRIPTION OF WORK
NAME OF PRESENT EMPLOYER
STARTING DATE
WEEKLY STARTING SALARY WEEKLY FINAL SALARY MAY WE CONTACT YOUR SUPERVISOR?
NAME OF SUPERVISOR TITLE PHONE
__________________________ ________________________ _____________________
NAME OF PRESENT EMPLOYER
STARTING DATE
WEEKLY STARTING SALARY WEEKLY FINAL SALARY MAY WE CONTACT YOUR SUPERVISOR?
NAME OF SUPERVISOR TITLE PHONE
__________________________ ________________________ _____________________
DESCRIPTION OF WORK
(BELOW GIVE THE NAMES OF THREE PERSONS YOU ARE NOT RELATED TO, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.)
NAME ADDRESS BUSINESS YRS. KNOWN
1.
2.
3.
BRANCH OF SERVICE DISCHARGE DATE/RANK
HAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE LAST 5 YEARS? YES NO
(IF YES, EXPLAIN…THIS WILL NOT NECESSARILY EXCLUDE YOU FROM CONSIDERATION)
AUTHORIZATION
“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 FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRENSETATIVE.”
DATE SIGNATURE