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EASTROCK LANDSCAPE
HAVE YOU INTERVIEWED IN PERSON WITH US BEFORE:
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
STREET ADDRESS:
CITY:
ZIP CODE:
HOME PHONE:
CELL PHONE:
BEST WAY TO REACH YOU:
DO YOU HAVE THE LEGAL RIGHT TO WORK IN THE U.S.:
DO YOU HAVE A CRIMINAL RECORD:
DO YOU HAVE A VEHICLE:
IF YES, IS IT INSURED:
CAN YOU DRIVE A PICK UP TRUCK:
DO YOU HAVE A CELL PHONE:
DO YOU HAVE A CONTRACTORS LICENSE:
EMERGENCY CONTACT
PERSONAL INFORMATION
YOUR EMERGENCY CONTACT'S NAME:
HIS OR HER PHONE NUMBER WITH AREA CODE:
DO YOU HAVE HEALTH INSURANCE:
IF YES, WITH WHICH COMPANY:
DO YOU HAVE ANY PERMANENT INJURIES:
IF YES, PLEASE EXPLAIN:
AVAILABILITY, POSITION AND SALARY
DO YOU REQUIRE MORE THAN ONE WEEK LONG VACATIONS:
IF YES, PLEASE EXPLAIN:
DO YOU HAVE ANY MEDICAL CONDITIONS THAT WOULD
PREVENT YOU FROM PERMORMING YOUR JOB:
IF YES, PLEASE EXPLAIN:
HOURS DESIRRED:
HOURS AVAILABLE:
AVAILABLE FOR WEEKEND WORK:
DATE AVAILABLE TO BEGIN WORK:
1-SALARY / WAGE:                                    DESIRED PER HOUR
POSITION APPLYING FOR:
2-SALARY / WAGE:                                    MINIMUM PER HOUR
EMPLOYMENT HISTORY
DO YOU CURRENTLY WORK:
1a- WHAT WAS YOUR LATEST (OR CURRENT) JOB:
1b- WHAT WERE YOUR RESPONSIBILITIES:
1c- WHO WAS YOUR EMPLOYER:
1d- WHAT CITY AND STATE:
1e- EMPLOYER'S PHONE NUMBER:
1f- HOW WOULD YOUR LAST EMPLOYER DESCRIBE YOU:
1g- WHAT DID YOU ENJOY THE MOST ABOUT THIS JOB:
1h- WHAT WAS YOUR REASON FOR LEAVING:
1i-  WHAT WAS YOUR SALARY / WAGE PER HOUR:
1j-  HOW LONG DID YOU WORK FOR THIS EMPLOYER:
_________________________   OTHER EMPLOYER (2)   ________________________
2a- WHAT WAS THE MOST RECENT JOB  FROM ABOVE:
2b- WHAT WERE YOUR RESPONSIBILITIES:
2c- WHO WAS YOUR EMPLOYER:
2d- WHAT CITY AND STATE:
2e- EMPLOYER'S PHONE NUMBER:
2f- WHAT WAS YOUR REASON FOR LEAVING :
2g- WHAT WAS YOUR SALARY / WAGE PER HOUR
2h-  HOW LONG DID YOU WORK FOR THIS EMPLOYER:
_________________________   OTHER EMPLOYER (3)   ________________________
3a- WHAT WAS THE MOST RECENT JOB  FROM ABOVE:
3b- WHAT WERE YOUR RESPONSIBILITIES:
3c- WHO WAS YOUR EMPLOYER:
3d- WHAT CITY AND STATE:
3e- EMPLOYER'S PHONE NUMBER:
3f- WHAT WAS YOUR REASON FOR LEAVING :
3g- WHAT WAS YOUR SALARY / WAGE PER HOUR
3h-  HOW LONG DID YOU WORK FOR THIS EMPLOYER:
_________________________   OTHER INFORMATION   ________________________
(PLEASE NOTE THERE IS NO RIGHT OR WRONG ANSWERS)
WHAT DO YOU LIKE ABOUT CONSTRUCTION:
WHAT DO YOU THINK ARE THE MOST IMPORTANT QUALITIES
OR SKILLS NEEDED TO BE SUCCESSFUL ON THIS JOB:
HOW WOULD YOUR LAST EMPLOYER DESCRIBE YOU:
HOW WOULD MAKE YOU HAPPY TO COME TO WORK EACH DAY:
WHAT EXPERIENCE (S) IN YOUR PREVIOUS JOB (S) WOULD YOU APPLY HERE:
HOW MANY DIFFERENT COMPANIES DID YOU WORK FOR IN THE PAST FIVE YEARS:
DO YOU HAVE ANY SPECIAL SKILLS YOU WANT TO MENTION:
RATE YOUR SKILLS 
Basic: little knowledge,    Average: completed task with minor help,   Good: completed task with no supervision  

Very Good: completed task with no supervision and great results,  Expert:  expert knowledge and experience 10 + yrs 
IRRIGATION INSTALLATION:
DRIP SYSTEMS:
IRRIGATION CONTROLLERS:
IRRIGATION DESIGN:
IRRIGATION REPAIR:
DRAINAGE INSTALLATION:
FRENCH DRAIN INSTALLATION:
SUMP PUMP INSTALLATION:
GRADING:
TRENCHING:
PLANT LAYOUT:
PLANT INSTALLATION:
PLANT  MAINTENANCE:
DECK CONSTRUCTION:
ARBOR / PERGOLA CONSTRUCTION:
WOOD RETAINING WALL CONSTRUCTION:
WOOD FENCE CONSTRUCTION:
WOOD MAINTENANCE:
CONCRETE FORMING:
CONCRETE FINISHING - PLAIN & BROOM:
CONCRETE FINISHING - SAND & AGGREGATE:
CONCRETE FINISHING - STAMPED:
CONCRETE SEALERS:
CONCRETE DEMOLITION:
PAVER INSTALLATION:
FLAGSTONE INSTALLATION:
BRICK / TILE INSTALLATION:
STUCCO / LATHE INSTALLATION:
PRECAST / CULTURED STONE  INSTALLATION:
GRANITE COUTERTOP  INSTALLATION:
OUTDOOR KITCHEN  INSTALLATION:
OUTDOOR FIREPLACE  INSTALLATION:
BLOCK RETAINING WALL - SEAT WALL CONSTRUCTION:
GRAVITY BLOCK RETAINING WALL CONSTRUCTION:
POND AND WATERFALL CONSTRUCTION:
POND AND WATERFALL MAINTENANCE:
POND AND WATERFALL REPAIR:
TREE REMOVAL:
TREE PRUNING:
PAINTING / WOOD STAINING:
DRY CREEK INSTALLATION:
LOW VOLTAGE LIGHTING INSTALLATION:
LOW VOLTAGE LIGHTING TRANSFORMERS:
120 VOLT INSTALLATION:
220 VOLT INSTALLATION:
GAS LINE INSTALLATION:
HOT TUB INSTALLATION:
ARTIFICIAL TURF  INSTALLATION:
PUTTING GREEN  INSTALLATION:
ROTO-TILLER OPERATION:
BOB CAT OPERATION:
TOWING TRAILERS:
TRANSIT (LAZER LEVEL) OPERATION:
TOOL MAINTENANCE:
LANDSCAPE SALES / ESTIMATING:
LANDSCAPE DESIGN:
OFFICE MANAGEMENT - LANDSCAPE / CONSTRUCTION:
PROJECT MANAGER:
LIST TWO PERSONAL REFERENCES
EDUCATION AND ACHIEVEMENTS
HIGH SCHOOL                                          YEARS COMPLETED
TRADE SCHOOL                                       YEARS COMPLETED
NAME OF  TRADE SCHOOL
COLLEGE                                                  YEARS COMPLETED
NAME OF COLLEGE
LIST CERTIFICATIONS AND ACHIEVEMENTS
DO YOU HAVE ANY ADDITIONAL INFORMATION TO ADD
THANK YOU FOR TAKING THE TIME TO COMPLETE OUR APPLICATION.  WE WILL CONTACT YOU SHOULD YOUR CANDIDACY BE CONSIDERED.
1- NAME
1- PHONE NUMBER
1- RELATIONSHIP
1- YEARS KNOWN
2- NAME
2- PHONE NUMBER
2- RELATIONSHIP
2- YEARS KNOWN
HOW DID YOU HEAR ABOUT OUR COMPANY

Construction Employment Form - (2)

I hereby certify that I have completed this application form myself and that all of the information contained in this application is complete and accurate to the best of my knowledge.  I understand that, if employed, omissions or false statements on this application shall be considered sufficient cause for dismissal.  

I authorize Eastrock Landscape to conduct a background check on me and give all prior employers, schools, credit bureaus, social security administration, law enforcement agencies, back ground research companies and investigative agencies to give Eastrock Landscape any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, concerning my qualifications for the position applied for.  I release all persons or entities from all liability for any damage that may result for furnishing information to Eastrock Landscape.  I also release Eastrock Landscape and all of its employees form all liability for any damage that may result form reliance on the information furnished.  I understand that if a consumer investigative report is requested, I have the right, under the Fair Credit Reporting Act, to request in writing, within a reasonable time, a complete and accurate disclosure of the nature and scope of the investigation.  This written request should be addressed to the location where this application if filled.  

If employed by Eastrock Landscape I agree to abide by its policies, rules and regulations.  I understand and agree that my employment is at-will, and therefore, my employment and compensation can terminate, with or without cause, at any time, at my option or the option of Eastrock Landscape or any of its affiliated companies, unless it is modified by a specific, express written employment contract which is signed by an officer of Eastrock Landscape and me.  This at-will employment relationship may not be modified by any oral or implied agreement.

I understand that this application will be considered active for no more than two months and that after that time it may be necessary to reapply in order to be considered for employment.
I agree to all the terms and conditions.

(Applicants are subject to drug testest and background checks.)

"Excellence In Craftsmanship"
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