Employment | T.J.S. ENTERPRISES, INC.

T.J.S ENTERPRISES INC.

Grounds & Lawn Care Specialist

540-989-9879

Application for Employment

*Please complete all pages and questions.

Date of application: *

Name: *

Date of Birth: *

Social Security No: *

Home No.: *

Cell No.: *

Current Street Address: *

City: *

State: *

Zip Code: *

Position Applying for: *

Supervisor Laborer Secretary

Desired Starting Date: *

Desired Starting Pay: *

/Hr.

Will you be able to work 40+ Hrs./Week?:
YES NO

If No, How many Hrs.?

/Hrs.

Will you be able to work nights and weekends if needed?:
YES NO

Do you pay child support or have any credit problems that will require your wages to be garnished?:
YES NO

If Yes, Explain:

(1) Education Experience:

High School:

Graduate?:
YES NO

Yrs. Completed:

College:

Graduate?:
YES NO

Yrs. Completed:

Trade School:

Graduate?:
YES NO

Yrs. Completed:

Trades studied:

Certifications:

(2) Employment History: Begin with the most recent job held.

1. Company Name:

Phone:

Address:

City:

State:

Zip Code:

Salary:

Supervisor:

May we contact for reference?:
YES NO

Employment Dates:

Start

Finish

List skills and duties performed:

Reason for leaving:

Was a 2 week notice given?: YES NO

2. Company Name:

Phone:

Address:

City:

State:

Zip Code:

Salary:

Supervisor:

May we contact for reference?:
YES NO

Employment Dates:

Start

Finish

List skills and duties performed:

Reason for leaving:

Was a 2 week notice given?: YES NO

3. Company Name:

Phone:

Address:

City:

State:

Zip Code:

Salary:

Supervisor:

May we contact for reference?:
YES NO

Employment Dates:

Start

Finish

List skills and duties performed:

Reason for leaving:

Was a 2 week notice given?: YES NO

4. Company Name:

Phone:

Address:

City:

State:

Zip Code:

Salary:

Supervisor:

May we contact for reference?:
YES NO

Employment Dates:

Start

Finish

List skills and duties performed:

Reason for leaving:

Was a 2 week notice given?: YES NO

(3) References: List 3 people who are NOT relatives.

1. Name:

Phone:

Yrs. Aquainted:

Occupation:

Address:

City:

State:

Zip Code:

2. Name:

Phone:

Yrs. Aquainted:

Occupation:

Address:

City:

State:

Zip Code:

3. Name:

Phone:

Yrs. Aquainted:

Occupation:

Address:

City:

State:

Zip Code:

(4) Driving information:

Do you have a valid driver's license?:
YES NO

CDL Permit:
YES NO

Driver's License #:

State of issue:

Issue Date:

Expiration Date:

Do you have a reliable form of transportation to and from work?:
YES NO

Does T.J.S Enterprises Inc. have your permission to check your DMV records?:
YES NO

Have you had any automotive accidents in the past 5 yrs?: YES NO

If Yes, Explain:

Have you had any moving violations in the past 5 yrs?: YES NO

(Include DUI and/or DWI)
If Yes, Explain:

(5) Criminal Background:

Have you ever been convicted of or pleaded guilty to a Misdemeanor?: YES NO

If Yes, Explain:

Have you ever been convicted of or pleaded guilty to a Felony?: YES NO

If Yes, Explain:

(6) Health Background:

Are you currently taking any Medication prescribed by a Dr.?: YES NO

If Yes, List and Explain:

Are you able to lift at least 100 pounds?: YES NO

If No, Explain:

(7) Experience:

Do you have any previous Landscape experience?: YES NO

If Yes, List and explain:
Commercial Residential Personal School

Other - List and Explain:

Number years of experience:

On a scale of 1 to 10, how would you rate yourself?:

Do you have any experience operating heavy machinery such as skid loaders, tractors, excavators, etc.?: YES NO

List:

Number years of experience:

On a scale of 1 to 10, how would you rate yourself?:

Do you have any experience pulling a trailer?: YES NO

Number years of experience:

On a scale of 1 to 10, how would you rate yourself?:

Do you have any knowledge of trees, shrubs, flowers, etc.?: YES NO

On a scale of 1 to 10, how would you rate your knowledge?:

By submitting and signing this application, I authorize and request any public or private business or other employee for whom I have worked or been employed, or with whom I have sought employment, to supply T.J.S. Enterprises Inc. with any and all records pertaining to me that have been kept in the usual course of business, including but not limited to; drug and alcohol test results obtained within six months of the date of request for information by Roanoke County. The information obtained may be used by T.J.S. Enterprises Inc. in making decisions with regard to my employment.

I authorize investigation of all statements contained in this application. I certify that there are no willful misrepresentations, omissions or falsifications in the foregoing statements and answers to questions. I am aware that should an investigation disclose any misrepresentation, omission or falsification, my application may be rejected, or if already employed, my employment may be terminated. References and previous employer will be contacted to confirm statements unless otherwise indicated.

Applications will not be considered unless signed and dated; and all questions are answered.

Applicant's Signature: *

Date: *