Pre-employment questionnaire, BP Landscapes, Inc. is a equal opportunity employer.
First Name: Last Name:
Address:
City: State:
Zip: Phone:
E-mail:
Desired Position:
Select...
Laborer
Employment History
Please list chronologically, beginning with most recent experience.
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Type of Work:
Reason for Leaving:
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Type of Work:
Reason for Leaving:
Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Type of Work:
Reason for Leaving:
Education
Personal Information
Are you legally authorized to work in the U.S.?: (If hired, you will be required to provide proof of work authorization.)
Are you at least 18 years of age?:
Briefly describe skills you may have that you acquired in other employment or armed forces:
Have you ever been convicted of a crime (felony)?:
If yes, give details: (Convictions are not automatic bar to employment)
If you are experienced operator of any outdoor or heavy equipment, please list:
Do you have any physical limitations? If yes, please explain:
Do you have any other skills you wish to mention?:
Are you presently employed?:
If so, may we contact your present employer?:
If hired, when would you be available?:
Employment References
List individuals familiar with your job qualifications (No relatives or personal friends).
1) Name of Reference: 2) Name of Reference:
Occupation: Occupation:
Address: Address:
City/State/Zip: City/State/Zip:
Phone: Phone:
Relationship: Relationship:
How long known: How long known:
How Were You Referred To This Job:
Select...
The Union Classifieds
The Union Newspaper
Auburn Journal Classified
Employee Referral
Employment Agency
Temporary Agency
Online Browsing
Walk-In
Other
Please read carefully before submitting your application
I certifiy that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, may application may be rejected and, if I am employed, my employment may be terminated at any time.
In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with our without cause, and with or without my notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with our without cause and with our without notice, at any time by the company. I understand that no company representative, other than its company owner, and then only when in writing and signed by the company owner, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.
Check this box to certify that you have read and accept the above statement.
