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Tell Us About Yourself

Position Interested In:
 Today's Date:
  
First Name:
 Last Name:
 Phone:
 Email:
Address:
 City:
 State:
 Zip:
Salary Requirements:

How did you hear about the position?
Monster.com Landscapejobs.com Horticulturejobs.com Newspaper  Other

 
 
Background
Are you at least 18 years of age or older?
Yes No
Are you legally allowed to work in the United States?
Yes No
Do you smoke and/or use tobacco products? Please be aware that Austin Outdoor is a tobacco-free environment.
Yes No
Have you ever been convicted of a crime?
Yes No		 Date
 Place
 Offense:
 Disposition:

 
 
Education
Name Of School
Address
Degree/Major
If graduated,
what year?
Years Completed
High School
 
 
 
 
College
 
 
 
 
Graduate School
 
 
 
 
Other/Vocational
  
  
  
  

 
 
Certifications & Skills

(i.e. FNGLA, CPLO, L+O,
Computer Hardware/Software, Word Processing, Typing/Wpm, Etc.)
Certificate/Skill
Date Received ( If applicable )

 
 
Employment
List employment record for the past 10 years - start with the most recent.
(Include unemployment periods and military service.)
From
To
Employer Name and Address
Position
Supervisor
Reason for Leaving
Salary





 
 
Additional Information

 
 
Signature/Release Statement:
My signature below certifies that all information contained in this informational submission is true, correct and complete to the best of my knowledge and contains no willful falsifications or misrepresentations. Falsifications or misrepresentations will disqualify me from consideration for employment or, if hired, will be grounds for termination. I also acknowledge that this is not an official application, and I will be asked to fill out a full employment application at the time of initial interview.

E-Signature (print name here) Date



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