Excellence In Landscaping since 1985

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Employment Application

North Metro Landscaping
11050 Lamont Avenue N.E.
Hanover, MN 55341
Phone: 763.497.4896
Fax: 763.497.4897
Contact Us Today!

Employment Application

How did you learn about us? Advertisement Employment Agency Friend Relative Walk-In
Last Name	First Name	Maiden Name
Street		City
State	Zip	Phone
Email Address	Social Security Number	Driver's License Number

	Yes	No
Have you ever filed an application with us before? - If yes, give date
Have you ever been employed with us before? - If yes, give date
Are you currently employed?
May we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment)
On what date would you be available for work?
Are you available to work: Full time Part time Temporary
Have you been convicted of a felony within the last seven years? - If yes, please explain
Have you been convicted of a crime or anticipatory crime against persons? - If yes, please explain
Do you have any physical restrictions? - If yes, please explain

EDUCATION

High School

College

Graduate/Prof.

School Name

Location

Years Completed

9	10	11	12

1	2	3	4

1	2	3	4

Diploma/Degree

Describe course of study

Additional Training and Specialized Skills:

Please list in-service training, job related skills, or special certificates e.g. CPR, First Aid, Behavior Management, Physical Intervention, Management Training, etc.

REFERENCES

Please list the name, address and telephone number of three references who are not related to you and who are not previous employers.
1.	Name	Street	City
	State	Zip Code	Phone Number

2.	Name	Street	City
	State	Zip Code	Phone Number

3.	Name	Street	City
	State	Zip Code	Phone Number

EMPLOYMENT EXPERIENCE

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.
1.	Employer	Start Date	End Date
	Street		City
	State	Zip Code	Phone Number
	Hourly Rate/Salary	Job Title	Supervisor's Name
	Work Performed
	Reason For Leaving

2.	Employer	Start Date	End Date
	Street		City
	State	Zip Code	Phone Number
	Hourly Rate/Salary	Job Title	Supervisor's Name
	Work Performed
	Reason For Leaving

3.	Employer	Start Date	End Date
	Street		City
	State	Zip Code	Phone Number
	Hourly Rate/Salary	Job Title	Supervisor's Name
	Work Performed
	Reason For Leaving

SHORT ANSWER QUESTIONS

1.	Why are you interested in our company?

2.	What Motivates you? How do you motivate others?

3.	Describe a time you were faced with a challenging situation. How did you handle it?

APPLICANT'S STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Yes, I have read the above Applicant's Statement
No, I have not read the above Applicant's Statement

DRIVER'S LICENSE RECORDS

In consideration of employment for direct service positions working in our Adult Services Division will require staff members to provide transportation to and from community work sites. Our insurance company reviews driving records. More than one moving violation in three years or a DWI may exclude you from being insured and may, therefore, impact your employment by North Metro Landscaping.

Yes, I have read the above statement regarding Drivers License Records
No, I have not read the above statement regarding Drivers License Records

DRUG FREE POLICY

In consideration of employment with North Metro Landscaping, I understand that North Metro Landscaping is committed to maintaining a workplace free from the influence of alcohol and illegal drugs and has a Alcohol and Drug Testing Policy.

Yes, I have read the above Applicant's Statement
No, I have not read the above Applicant's Statement