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Welcome
About
Employment
Programs
Donate
Contact
×
Welcome
About
Employment
Programs
Donate
Contact
×
Welcome
About
Employment
Programs
Donate
Contact
×
Welcome
About
Employment
Programs
Donate
Contact
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URC Employment Application
Special Pages
URC LAWNCARE EMPLOYMENT APPLICATION
It is the policy of URC Lawncare to provide equal employment opportunities to all applicants and employees without regard to any legally protexted status as race, color, religion, gender, national origin, age, disability or veteran status.
Applicant Information
Applicant Full Name*
Home Address*
City/Township*
ST*
Zip*
Phone Number*
Email
Social Security Number
Driver's License Information (ST & Number)*
Emergency Contact
Who should be contacted if you are involved in an emergency?
Contact Name*
Relationship To You*
Contact Address*
City/Township*
ST*
Zip*
Contact Phone Number*
Employment Information
Job Position Applied For*
Choose Job Status*
Full Time
Part Time
Enter Desired Hourly Wage*
Who referred you to our company?*
Are you atleast 18 years old?*
Yes
No
Do you have a way to get to work?*
Yes
No
What days/hours of the week are you available to work?*
Are you willing to work any shift, including nights and weekends?*
Yes
No
If no, please explain working days/hours limitiations
If applicable, are you available to work overtime?*
Yes
No
If you are offered employment, list what day/time you would be available to begin work*
If hired, are you able to submit proof that you are legally eligible for employment in the United States?*
Yes
No
What skills do you have and how many years of experience do you have with each skills?*
Applicant Employment History
Complete for your current/most recent employer first. Please complete for all employment within the last 5 years (including self-employment and military service) which you have held, beginning with the most recent.
Employer/Company Name*
Supervisor Name*
Employer Address*
City/Township*
ST*
Zip*
What are/were your job duties?*
What is/was your reason for leaving?*
Start Date:*
End Date:*
Employer/Company Name*
Supervisor Name*
Employer Address*
City/Township*
ST*
Zip*
What are/were your job duties?*
What is/was your reason for leaving?*
Start Date:*
End Date:*
Employer/Company Name*
Supervisor Name*
Employer Address*
City/Township*
ST*
Zip*
What are/were your job duties?*
What is/was your reason for leaving?*
Start Date:*
End Date:*
If you have more employment history to provided, please list all informations as completed above for each additional employer:
Applicant Education & Training Information
List Name & Address of colleges/universities you attended*
Select Obtained Degree Type
Associate
Bachelors
Masters
Doctorate
List any additional training, professional licensing, certifications, and awards you have received*
References
List two (2) non-relatives who would be willing to provide a reference for you
Reference #1 Name*
Address*
City/Township*
ST*
Zip*
Relationship*
Reference #2 Name*
Address*
City/Township*
ST*
Zip*
Relationship*
List any other information you believe should be considered, including whether or not you are bound by any agreement with any current employer*
CERTIFICATION
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.
I authortize URC Lawncare to contact former employers and educational organizations regarding my employment and education. I authorize my former employer and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Member, the employment relationship will be "at-will". In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Simiarly, my employer will have right. Moreover, no agent, representative, or employee of URC Lawncare, except in a specific written contract of employment signed on behalf of the organization by its Member, has the power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
Applicant Name*
Date Application Completed*
Check word:
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