Careers

Basic Information

Position Desired:(required)

First Name:(required)

Middle Initial:

City:(required)

Zip Code:(required)

Cell Phone:(required)

Driver’s License Number:(required)

Expiration Date:(required)

Date

Last Name:(required)

Street Address:(required)

State:(required)

Home Phone:(required)

Email Address:(required)

State:(required)

Employment History

The information required below must be submitted on this Application. While you are welcome to attach a resume to this Application, it will not be accepted in lieu of completing any portion of this Application. For this section, please account for the last ten (10) years of employment beginning with your current or most recent employer. List all experiences that are relevant to the position for which you are applying.

Employer:(required)

Employed From:(required)

Street Address:(required)

State:(required)

Supervisor's Name:(required)

Final/Current Monthly Salary(required)

Title:(required)

Employed To:(required)

City:(required)

Zip Code:(required)

Supervisor's Title:(required)

Job Responsibilities(required)

Employer:

Employed From:

Street Address:

State:

Supervisor's Name:

Final/Current Monthly Salary

Title:

Employed To:

City:

Zip Code:

Supervisor's Title:

Job Responsibilities:

Employer:

Employed From:

Street Address:

State:

Supervisor's Name:

Final/Current Monthly Salary

Title:

Employed To:

City:

Zip Code:

Supervisor's Title

Job Responsibilities:

Education

Name of High School:

State:

Degree:

City:

Graduation:

Yes

No

Name of College:

State:

Degree:

City:

Graduation:

Yes

No

Name of Vocational School:

State:

City:

Graduation:

Yes

No

Licenses/Certificates

Please list all relevant Licenses and/or Certificates here

References

Name:

Relationship:

Telephone Number:

In Case of Emergency Notify

Name:(required)

Address:(required)

Relationship:(required)

City and State:(required)

Telephone Number:(required)

Zip Code:(required)

Medical Provider Network

Earthcare Landscape Services, Inc. utilizes a Medical Provider Network for the treatment of work-related injuries and illnesses. Employees may pre-designate a physician for this purpose if they wish, provided they have a signed letter from their physician agreeing to the pre-designation for work-related injuries and illnesses. If you wish to do so, please list the physician’s name and contact information below, and attach the physician’s letter. If you do not wish to do so, leave the space blank.

Physician's Name:

Contact Information:

Please Read Carefully

I fully understand this employment application, as well as other hiring documents, do not create an employment contract between Earthcare Landscape Services, Inc. and me. I understand that if I am hired and any of my answers are deemed to be false or misrepresentations, then I may be terminated. I fully understand that my employment is “at will”, meaning that either myself or Earthcare Landscape Services, Inc. may terminate my employment at any time for any reason. I am fully aware and authorize Earthcare Landscape Services, Inc. to conduct a background investigation and/or a pre-employment drug test and/or physical examination on me as a condition of my employment. I grant full permission to Earthcare Landscape Services, Inc. to contact the above-mentioned references regarding my background.(required)

Yes, I understand.

Message

Consent Agreement:(required)

I consent to having this website store my submitted information so they can respond to my inquiry.

Are you human?(required)

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EMPLOYMENT APPLICATION

Basic Information

Employment History

Education

Additional Information

References

In Case of Emergency Notify

Medical Provider Network

Please Read Carefully