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Job Application Form

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Job Application FormJack Peccerillo2022-05-18T15:31:30+00:00

Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications.

Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. It is company policy to complete all the below information when applying. Please attach a resume when submitting your application, but all questions MUST be answered.

Position applying for *

Personal Information

Name *

Street Address and/or Mailing Address *

City/Town *

State *

Zip Code *

Phone *

Email *

Potential Start Date *

Salary Desired

Have you Received your High School Diploma or GED? *

Yes

Position Information

Check all that you are willing to work

Hours *

Full Time

Part Time

Are you authorized to work in the U.S. on an unrestricted basis? *

Yes

Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment) *

Yes

Have you seen a list of essential job functions of the job for which you are applying? *

Yes

Can you perform these essential functions of the job with or without reasonable accommodation? *

Yes

Qualifications

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.

School Name

Degree

City/State

School Name

Degree

City / State

Other

Degree

City / State

Special Skills

List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organization/teams, etc.)

References

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don't have three professional references, then list personal, unrelated references.

Name *

Address / City / State *

Phone *

Relationship *

Name *

Address / City / State *

Phone *

Relationship *

Name *

Address / City / State *

Phone *

Relationship *

Work History

Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)

Job Title #1 *

Start Date *

End Date (Pick today's date if present job) *

Company Name *

Supervisor's Name *

Phone *

City/Town *

State *

Zip *

Duties / Responsibilities *

Reason for Leaving *

Salary Amount

May we contact this employer? *

Yes

Job Title #2

Start Date

End Date (Pick today's date if present job)

Company Name

Supervisor's Name

Phone

City/Town

State

Zip

Duties / Responsibilities

Reason for Leaving

Salary Amount

May we contact this employer?

Yes

Job Title #3

Start Date

End Date (Pick today's date if present job)

Company Name

Supervisor's Name

Phone

City/Town

State

Zip

Duties / Responsibilities

Reason for Leaving

Salary Amount

May we contact this employer?

Yes

Job Title #4

Start Date

End Date (Pick today's date if present job)

Company Name

Supervisor's Name

Phone

City/Town

State

Zip

Duties / Responsibilities

Reason for Leaving

Salary Amount

May we contact this employer?

Yes

Upload your Cover Letter

Choose File

Upload Your Resume *

Choose File

Acknowledgement *

I certify that the facts set forth in this Application for Employment are true and complete tot the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.

I acknowledge and understand that the company is an at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice too the other party.

Applicant Signature *

Today's Date *

We’re Excited to Meet you!

Thank you for your interest in working for Stone Hill Landscape and Excavation!

LET’S GET STARTED

Meet the Team

Stone Hill Landscape – Excavation
229 Seymour Road
Woodbridge, CT 06525

Office Hours:
Mon-Fri, 8:30am – 5pm

contact@stonehilllandscape.com
Call us: 203 877 9324

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