Apply Online PRE-EMPLOYMENT APPLICATION Arrowhead Landscape/Winter Services, Inc. utilizes specific drug testing policies. Please refer to the Employee Policies and Manuals for more information. Our Company is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, veteran status, any disability as defined in the Americans With Disabilities Act, or for any other reason protected by State or Federal law. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered. Please indicate which company you are applying with:* Arrowhead Landscape Services, Inc. PERSONAL INFORMATIONDate Date Format: MM slash DD slash YYYY Name* First Middle Last Home PhoneCell Phone*E-Mail Address* Present Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Are you 18 years of age or older?YesNoAre you a citizen of the U.S. or do you have the legal right to be employed in the United States?YesNoDo you have the ability, with or without reasonable accommodations, to work overtime or to travel if travel and/or overtime are required by the job for which you are applying?YesNoIf No, please explainWould you be willing and able to relocate?YesNoEMPLOYMENT DESIREDAre you seekingfull timepart timetemporary or seasonalPosition applied forSalary DesiredDate available to startHave you ever applied with our company before?YesNoHave you ever worked for our company before?YesNoIf your answer to either of the above questions is Yes, state when and where you applied and/or worked.How did you learn of our company and/or position?Are you now, or do you expect to be, working in any other business or job?YesNoAre there any days or hours you would be unable or unwilling to work?YesNoIf Yes, please specify those days and hours you would be unable or unwilling to workIs there any type of work which you will not perform?YesNoIf Yes, please explainEDUCATIONHigh School, Name, Address and LocationHighest Grade completed9101112Did you Graduate?YesNoName, Address and LocationCircle number of years completed12344+Graduate?YesNoCourses StudiedName, Address and LocationNumber of months attendedGraduate?YesNoCourses StudiedIf you did not graduate, why did you leave high school or college?Are you planning to pursue further studies?YesNoIf so, when, where and what courses?List any scholastic honors, offices held and activities involved in during high school and college. (Please exclude those which may reflect race, sex, color, religion, national origin, disability, sexual orientation or other protected status)Please describe any other special courses, seminars or training which could enable you to perform the position for which you are applying.MILITARYHave you ever served in the military?YesNoService BranchFinal RankWhat duties, training or experience did you have while in the military which may be job related?CAPABILITY/RELIABILITYWould you be willing and able to perform all of the tasks required by the job you are applying for?YesNoIf not, please explain which tasksHave you filed any type of fraudulent claim against any of your present or past employer?YesNoIf Yes, please explainWill you abide by the safety rules of this company?YesNoHave you ever been disciplined for violating company safety rules or regulations?YesNoIf Yes, please explainHow many days of work (or school) have you missed in the last two years?How many times have you been late for work (or school) in the last two years?Consistent attendance and punctuality are essential requirements of every job in our company. Would you be willing and able to report to work on time every day on a regular and consistent basis?YesNoIf No, please explainHave you ever been disciplined or received verbal or written warnings for absenteeism or tardiness?YesNoIf Yes, please explainHave you ever been fired, or asked to resign from a job?YesNoIf Yes, please explainWORK HISTORY List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.DO NOT REFERENCE YOUR RESUMETitlePLEASE GIVE MONTH AND YEARDates Employed Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY Reason for LeavingDescribe duties performed, skills used/learned, advancements/promotions earned:TitleName and Title of Last SupervisorDates Employed Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY Reason for LeavingDescribe duties performed, skills used/learned, advancements/promotions earned:TitleName and Title of Last Supervisor Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY Reason for LeavingDescribe duties performed, skills used/learned, advancements/promotions earned:TitleName and Title of Last SupervisorDates Employed Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY Reason for LeavingDescribe duties performed, skills used/learned, advancements/promotions earned:SUPPLEMENTAL INFORMATIONIf you worked in any of your previous positions under another name, please give that name(s) below: (For reference checking purposes) Name @ Company Name @ Company If yes, may we contact your present employer?YesNoWhat languages do you speak fluently?Do you have a Driver’s License?YesNoIf Yes State of Issue License Number Class Expiration SPECIAL SKILLSDo you type?YesNoTyping: Words per MinutePlease list all software programs in which you are proficient, indicating how many years work experience you have with each:List other computer skills, programming languages, or computer training you have had:List other technical training, skills or work experience which may qualify you for a job with us:Use this space below to describe why you are interested in working for our company and to list those skills and abilities which you feel particularly qualify you for a position with us.REFERENCES Give three references, not relatives or former employersNAMEADDRESSPHONEOCCUPATIONAFFIDAVIT I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge. I hereby authorize the Company to contact any company or individual if deems appropriate to investigate my employment history, character and qualifications and give my full and complete consent to their revealing any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for libel, slander, defamation, invasion of privacy or any other reason because of their statements. I agree that, if I am employed, I will abide by all the rules and regulations of the Company. I understand that the taking of drug and alcohol tests, when given pursuant to company policy, are a condition of continued employment and refusal to take such tests when asked will be grounds for my immediate termination. I further understand that nobody in the Company is authorized to enter into any written or verbal employment contracts with me for any definite period of time without the express written consent of the President of the Company. I also understand that my employment is at-will and may be terminated by myself or by the company at any time for any reason or for no reason at all, with or without prior notice.SignatureDate Date Format: MM slash DD slash YYYY