Today's Date
Name
Email
Phone
Address
Rate of Pay Acceptable
Date Available
If yes, list name, phone number and address of current employer.
If yes, when, where, and what position?
Please list past and/or current education including school address, graduation date, major/minor, and degree/accreditation.
Special skills or training:
If yes, please list Branch, Rank attained and Dates served.
Honors or Awards:
Special Training:
If yes, explain:
If yes, explain:
If yes, explain:
Mullen Lawn Care, Inc. requires that each employee is free from the effects of drugs or alcohol while performing the tasks required by the job. As a condition of employment, each employee may be required to take a drug screening test at the time of employment, or at any other time at the discretion of the company. Each applicant must also answer and agree to the following: I have taken the following prescription or non-prescription drugs during the past 30 days:
I hereby consent to a pre-employment drug and alcohol screening test, and certify that, to the best of my knowledge, the foregoing answers are complete and correct. I understand and agree that any omission of this record may be cause for the disqualification of my application, or termination. Furthermore, if employed, I hereby authorize Mullen Lawn Care, Inc. to re-quire me to take drug and alcohol screening tests in accordance with the current Company policy covering drug and alcohol abuse. I understand that my refusal to take drug screening tests as required by the current Company policy shall result in my immediate discharge.
References (do not list relatives). [Name, Address, Phone, Years Known]
If yes, explain:
Other special skills, knowledge or abilities which support your qualifications for the position which you are seeking
STATEMENT AND SIGNATURE. In completing and submitting this application I understand and agree: That any misstatement of facts will be sufficient reason for immediate withdrawal of the is application or, in the event of employment, be cause for termination. That my previous employers may be asked for information concerning my employment, character, ability and experience. That no question on this application has been answered in such a manner as to disclose my sex, race, color, religion or national origin. That if employed, I may be required to furnish proof of age by birth certificate. I agree to abide by all rules/regulations set forth by Mullen Lawn Care, Inc. That Mullen Lawn Care, Inc. shall be entitled to receive reports concerning injury or illness from attending physicians and practitioners.
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