Simpson’s Landscape and Property Maintenance
32 Deerhill Road • Waterford • Maine • 04088
call or text: 207.523.0694 Fax 207-583-9108
click: simpsonslandscaping@gmail.com | www.simpsonlandscaping.biz
EMPLOYMENT APPLICATION
GENERAL INFORMATION
NAME:________________________________________________________________
ADDRESS:________________________________________________________________
DAY TIME PHONE NUMBER:__ _______________________________________________________
EVENING PHONE NUMBER:_________________________________________________________
SOCIAL SECURITY NUMBER: ___ ___ ___ - ___ ___ - ___ ___ ___ ___
DRIVER’S LICENSE NUMBER: ____________________________________
POSITION APPLYING FOR: ________________________________________________________
CHOOSE ONE:FULL TIME _________ PART TIME _________
EDUCATION
NAME OF HIGH SCHOOL: __________________________________________________________
YEARS ATTENDED: FROM __________________ TO ________________________
GRADUATED: YES ________________ NO _______________ G.E.D. ________________
NAME OF COLLEGE: _______________________________________________________________
YEARS ATTENDED: FROM __________________ TO ___________________________
GRADUATED: YES _________________ NO _______________ DEGREE ________________
NAME OF VOCATIONAL OR TRADE SCHOOL: _____________________________________
YEARS ATTENDED: FROM __________________ TO ______________________________
CERTIFICATION EARNED: _________________________________________________________
OTHER (EXPLAIN): _________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
EMPLOYMENT
CAN WE CONTACT ANY OF YOUR PREVIOUS EMPLOYERS? ______________
PRESENT OR MOST RECENT EMPLOYER: ________________________________________
POSITION : _________________________________________________________________________
PHONE NUMBER: _____________________________________________
SUPERVISOR NAME: _______________________________________________________________
EMPLOYED FROM _________________________ TO _______________________________
SALARY _____________________________________________________
REASON FOR LEAVING: ___________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
PAST EMPLOYER: __________________________________________________________________
POSITION: __________________________________________________________________________
PHONE NUMBER: _______________________________________
SUPERVISOR NAME: _______________________________________________________________
EMPLOYED FROM _________________________ TO _______________________________
SALARY ______________________________________________________
REASON FOR LEAVING:____________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
PAST EMPLOYER: __________________________________________________________________
POSITION: __________________________________________________________________________
PHONE NUMBER: _______________________________________
SUPERVISOR NAME: _______________________________________________________________
EMPLOYED FROM _________________________ TO _______________________________
SALARY ______________________________________________________
REASON FOR LEAVING:____________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
PAST EMPLOYER: __________________________________________________________________
POSITION: __________________________________________________________________________
PHONE NUMBER: _______________________________________
SUPERVISOR NAME: _______________________________________________________________
EMPLOYED FROM _________________________ TO _______________________________
SALARY ______________________________________________________
REASON FOR LEAVING:____________________________________________________________
______________________________________________________________________________________
REFERENCES
NAME: _____________________________________________________________________
PHONE NUMBER: _________________________________________________________
EMPLOYER: _______________________________________________________________
RELATIONSHIP: ___________________________________________________________
NAME: _____________________________________________________________________
PHONE NUMBER: _________________________________________________________
EMPLOYER: _______________________________________________________________
RELATIONSHIP: ___________________________________________________________
SKILLS & QUALIFICATIONS
LIST THE DIFFERENT SKILLS AND QUALIFICATIONS YOU HAVE THAT PERTAIN TO THE POSITION YOU ARE SEEKING WITH THIS COMPANY.
______________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I certify that the information I have provided in this employment application is accurate to the best of my knowledge. I understand that providing false information could eliminate the chance for employment with this company. I also authorize all persons, companies and institutions listed on this application to provide information to my potential employer.
___________________________________________ ___________________________
Signed