design • develop • maintenance

520.622.1597   7011 N. Camino Martin, Tucson AZ, 85741

Online Employment Application Form

Date:

Last Name:     First Name:     Middle Name:

Address:

City:     State:     Zip Code:

Telephone Number:    

Position Desired:     Date Available For Work:

Salary Desired:


Yes No        Are you legally entitled to work in the U.S. for any employer?
                             (You will be required to provide proof upon offer of employment)


Yes No        Are you over the age of 18?


EMPLOYMENT INFORMATION:
Please list your last three (3) employers. List the most recent employer first.

Employer Name:    Phone:

Position Held:    From Date:    To Date:

Starting Salary:    Ending Salary:

Reason For Leaving:


Employer Name:    Phone:

Position Held:    From Date:    To Date:

Starting Salary:    Ending Salary:

Reason For Leaving:


Employer Name:    Phone:

Position Held:    From Date:    To Date:

Starting Salary:    Ending Salary:

Reason For Leaving:


PLEASE READ CAREFULLY BEFORE SUBMITTING:

This company is an equal opportunity employer and selects applicants based upon different factors of job related qualifications that best fits the needs of our company regardless of race, religion, color, creed, sex, sexual orientation, national origin, age, disability, or any other status or characteristics protected by law.

I understand by signing below, that this application does not guarantee me a position with this company and furthermore, this application does not obligate this company to offer me a job, or hire me.

In the processing of my application, an investigation may be conducted whereby information may be obtained from former employers. By signing below, I hereby grant permission to obtain any information deemed necessary by Chula Vista Landscaping to arrive at an employment decision and hereby release this company, its officers, employees, representatives, or agents from any and all liability and / or damages if the company decides not to hire me after reviewing my application.

This application will be on file for sixty days. After sixty days the applicant must reapply to be considered for future employment.

Copy of this form is prohibited without the express written consent of Chula Vista Landscaping. 09/2001
Revised 3/18/13

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By submitting this online application you agree that this will be considered an original signature.