Maintenance/Grounds Keeper Job Application

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Maintenance/Grounds keepers needed. Must be able to do physical labor, lift , run equipment (training is available), mow, weed whack, and light construction. Self-Starters preferred. Must have reliable transportation and a drivers license. Compensation dependent on experience. References required.

Email *

Name *

First and last name

Phone number *

Are you 18 and over? *

Yes

Are you either a U.S. citizen or an alien authorized to work in the U.S.? *

Yes

Education - what is the highest grade you completed? *

List special skills you have:

Do you have a valid drivers license? *

Yes

What was your most recent job and for what employer? *

Have you ever been convicted of a felony? *

Yes

Required

In case of emergency who shall we contact? Name and phone number please. *

In the event of a medical emergency, are there any medical conditions you would like us to notify medical professionals of (ex. allergies, etc.) *

Please provide 3 references - Name and Phone Number *

Authorization and Acknowledgments

I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I authorize the company to verify my references, record of employment, education record and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them., without giving me prior notice of such disclosure. In addition I release the company, my former employers and all other persons and entities form any and all claims, demands or liabilities arising out of or in any way related to such inquiry of disclosure.

Candidate Signature *

Date *

YYYY

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