Application for Employemnt

Applicant Information
Full Name
Last Name	First Name	M.I.	Date
Address
Street			Apt./Unit#
City		State	Zip
Previous Address
Phone Email
Education
Name / Address of School Course of Study Years Completed Diploma / Degree High School Undergraduate College Graduate Professional Trade School Do you have any special skills (i.e. plumbing, electrical, etc) Yes No Explain
Previous Employment
Employment 1 Company Phone Address Supervisor Job Title Starting Salary Ending Salary Work Performed From To Reason for leaving May we contact your previous supervisor for a reference? Yes No Employment 2 Company Phone Address Supervisor Job Title Starting Salary Ending Salary Work Performed From To Reason for leaving May we contact your previous supervisor for a reference? Yes No Employment 3 Company Phone Address Supervisor Job Title Starting Salary Ending Salary Work Performed From To Reason for leaving
May we contact your previous supervisor for a reference?		Yes	No
May we inquire of your former employers?		Yes	No
Are you employed now?		Yes	No
Legal/License Information
Do you have any previous convictions?		Yes	No
If yes, please explain
Do you have any type of specialized license?		Yes	No
(i.e. Tree Expert or a Sprating License)
If yes, please explain
Do you have any previous experience in Landscaping or Ground Maintenance?		Yes	No
If yes, please explain
What types of equipment are you qualified to operate?
Do you have a valid drivers license?		Yes	No
If yes, do you have a "CDL" license?		Yes	No
Class
Do you have reliable transportation?		Yes	No
In Case of Emergency Notify
Name & Address
Relationship		Phone
Employment Information
Date Available SSN Desired Salary
Position Applied For
Applying For	Full Time Part Time
Additional Statements
We require a pre-employment physical before you can start employment. I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is caused by dismissal and that employment is is substantially dependent on truthful answers to the foregoing inquiries.
** Standards of Conduct **
Not following instructions. Failure to adhere to safety rules and practices. Wearing an incomplete uniform or not meeting appearance standards. Smoking in unauthorized area. Un-excused absence or tardiness Improperly or inadequately performing duties Soliciting on company premises. Incorrect cash handling or security procedures. Leaving work without permission. Negligence. Failure to report to work. Possession of, reporting to work under the influence of, or drinking alcoholic beverages and or illegal narcotics or drugs on company property. Fighting, threatening, or intimidating others on company property. Falsification of company records. Theft or attempt of theft.
I have read the above rules, and agree to abide by them. I also understand that it is my responsibility to ask my foreman if I have any questions concerning these STANDARDS of CONDUCT.
Note: This application will remain active for 90 days.
Yes No

Outside Unlimited, Inc.
Attn: Lisa Romero
4195 Saint Paul Road
Hampstead, Maryland 21074