EMPLOYMENT APPLICATION

Name *

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Email *

Are you either a U.S. citizen or an alien authorized to work in the U.S.? *

YesNo

Are you at least 18 years of age? *

YesNo

Do you possess a vaild Ohio driver's license?

YesNo

Have you ever been convicted of a felony? *

YesNo

If yes please provide details.

Do you have a reliable form of transportation? *

YesNo

Would you be willing and able to work on time every day on a regular and consistant basis?

YesNo

Are you interested in a full or part-time position?

Full-TimePart-Time

Are there any days or hours you would be unable or unwilling to work?

YesNo

If yes, please explain:

Date you can start

Previous Employment From-To

Employer Name

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Position

Salary

Reason for leaving

May we contact your most recent employer?

YesNo

High School Name & Location

Number of years attended

List any work experience or special skills that you have that may relate to the position for which you are applying:

The job you are applying for requires extensive walking, lifting and physical exertion 10-12 hours a day. Can you perform these functions with or without reasonable accomodation?

YesNo

Are you willing to work more than 40 hours per week when necessary?

YesNo

Are you willing to work Saturday's?

YesNo

Have you ever had a job that involved customer service where you had to deal with the public face to face?

YesNo

Have you ever had a job where you were required to work on your own, unsupervised?

YesNo

How would you rate your mechanical skills or aptitude?

NoneMinimalGoodExcellent

Grass Master LLC

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