Employment Application Employment Application Submission Kimmell's Premier Landscapes Employment Application FormFull Name:(Required) First Middle Last Phone:(Required)Email:(Required) Social Security #:(Required) Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are You At Least 18 Years Old?(Required) Yes No Have You Ever Been Convicted Of A Crime?(Required) Yes No If Yes, Please Give Date & Reason For Conviction: EMPLOYMENT DESIREDPosition Applying For: Do You Prefer: Full-Time Part-Time Seasonal Available Start Date: Pay Rate Desired: Are You Currently Employed? Yes No May We Contact Your Previous Employer? Yes No Have You Ever Applied or Been Employed By Kimmell's Premier Landscapes,Ltd.? Yes No If So, When? Will You Travel For Multiple Days At A Time If The Job Requires It? Yes No EDUCATIONSelect Highest Education:High SchoolUndergraduate SchoolGraduate SchoolOther (Specify)# Of Years: Course Of Study: Diploma/Degree: Yes No Name & Address: FORMER EMPLOYERDates ( Month/Year): Company Name: Contact: Salary: Position: Reason For Leaving:Dates ( Month/Year): Company Name: Contact: Salary: Position: Reason For Leaving:Dates ( Month/Year): Company Name: Contact: Salary: Position: Reason For Leaving:MILITARY SERVICESBranch Of Service: Status (Active/Retired/Veteran): Rank: DrivingDriver's License #: State: CDL: Class: List Any Moving Violations Received Within The Last 2 Years: SPECIFIC SKILLS & QUALIFICATIONSPlease List Your Skill Level...Maintenance Skills:Never Push Mower Zero Turn Mower String Trimmer Pruning Chemical Application Drive Small Dump Truck Irrigation Work Electrical Work Snow Plowing Some Push Mower Zero Turn Mower String Trimmer Pruning Chemical Application Drive Small Dump Truck Irrigation Work Electrical Work Snow Plowing Expert Push Mower Zero Turn Mower String Trimmer Pruning Chemical Application Drive Small Dump Truck Irrigation Work Electrical Work Snow Plowing Construction Work:Never Tree/Shrub Planting Natural Stone Work Flagstone Work Retaining Wall Work Masonry Blue Print Reading Grading Operating Skid Steer Operating Excavator Some Tree/Shrub Planting Natural Stone Work Flagstone Work Retaining Wall Work Masonry Blue Print Reading Grading Operating Skid Steer Operating Excavator Expert Tree/Shrub Planting Natural Stone Work Flagstone Work Retaining Wall Work Masonry Blue Print Reading Grading Operating Skid Steer Operating Excavator List Any Additional Skills or Qualifications You Feel Would Be Helpful In Considering You For This Position:REFERENCESName(Required) First Last Phone(Required)Name(Required) First Last Phone(Required)Name(Required) First Last Phone(Required)QUESTIONNAIREWhat Is The Area Of A 16' X 63' Rectangle?(Required) What Is The Area Of A 15' X 15' Triangle?(Required) Dan and Preston Go To Mrs. Berkey’s Home To Build A Patio. They Arrive At 8:30 AM. They Finish The Job For The Day and Depart At 4:30 PM. What Are The Total Man Hours Work On Mrs. Berkey’s Account?(Required) Name Three Deciduous Trees (Common or Scientific Name):(Required) Name Three Perennials (Common or Scientific Name):(Required) AGREEMENTI have thoroughly read and completed this form to the best of my ability. The facts set forth in this document are both true and complete. This is a DRUG FREE workplace and I understand that I may be subject to a drug screening test as well as a background check. I understand that if my application is accepted and that this is an “at will” workplace. I further understand that my “at will” employment may be terminated at any time by myself or the Company that includes no guarantee, contract, or promise of employment for any specific time. Signature:(Required) Date(Required) MM slash DD slash YYYY We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.NameThis field is for validation purposes and should be left unchanged.