Pate Landscape Company Employment Application Please enable JavaScript in your browser to complete this form.TODAY’S DATE: *DATE YOU ARE AVAILABLE TO START WORK: *FULL NAME:PRESENT ADDRESS: *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePHONE/CELL: *NAME OF HIGH SCHOOL:DID YOU GRADUATE OR EARN GED?: *YesNoDATE OF GRADUATION:TRADE SCHOOL & YEAR GRADUATED: *COLLEGE & YEAR GRADUATED: *MILITARY SERVICE/YEARS: *DO YOU HAVE A DRIVERS LICENSE?: *YesNoID CARD?: *LICENSE # *CAN YOU WORK ON SATURDAYS WHEN NECESSARY?:YesNoDO YOU HAVE EXISTING PHYSICAL CONDITIONS THAT PREVENT YOU FROM PERFORMING MANUAL LABOR? (IF YES, PLEASE EXPLAIN) *EMPLOYMENT RECORD: PLEASE LIST INFORMATION REGARDING YOUR LAST TWO (2) EMPLOYERS:NAME OF EMPLOYER: *DATE OF EMPLOYMENT: *WAGE: *SUPERVISOR: *POSITION: *REASON FOR LEAVING: *NAME OF EMPLOYER: *DATES OF EMPLOYMENT: *WAGE *SUPERVISOR: *POSITION: *REASON FOR LEAVING: *PERSON TO CONTACT IN CASE OF EMERGENCY: NAME: *PHONE: *PLEASE NOTE PATE LANDSCAPE COMPANY HAS A COMPANY POLICY THAT INCLUDES A SUBSTANCE ABUSE POLICY AS WELL AS A CONFIDENTIALITY & NON-COMPETE AGREEMENT. PLEASE SIGN AND DATE ACKNOWLEDGING THAT ALL INFORMATION GIVEN ON THIS APPLICATION IS TRUE TO THE BEST OF YOUR KNOWLEDGE: IS THERE ANY ADDITIONAL INFORMATION YOU WOULD LIKE TO INCLUDE ON THIS APPLICATION:SUBMIT EMPLOYMENT APPLICATION
