Zales Landscapes Employment Application

First Name

Last Name

Phone *

Email *

Date of birth

Address

Street Address

City

State

Country

Postal code

Are you 18 years or older?

Yes

No

Are you legally authorized to be within the U.S.?

Yes

No

Type of Employment Desired

Full Time

Part Time

Are you willing to work overtime?

Yes

No

Date on which you can start work if hired

If applicable, below list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc

What is your level of education?

Education (Name and location, Course of Study or Major, # of Years Completed)

High School
College
Graduate/Proffesional
Trade or Correspondence

Work Experience

Employer Name

Employer Address

Type of Business

Phone Number

Dates employed (From MM/DD/YYYY- To MM/DD/YYYY)

Job Title

Job Duties

Supervisor Name

May we contact?

Yes

No

If No, Why not?

Reason for leaving?

What will this employer say was the reason your employment was terminated?

Were you ever disciplined? If so, for what?

How much notice did you give when resigning? If none, explain

Employer 2

Employer Address

Type of Business 2

Phone Number Employer 2

Dates employed 2 (From MM/DD/YYYY- To MM/DD/YYYY)

Job Title 2

Job Duties 2

May we contact employer 2?

Yes

No

If no, why not?

Why did you leave?

What would this employer say was the reason you left?

Where you ever disciplined? For what?

When resigning, how much notice did you give? If none, please explain

Have you ever been terminated or asked to resign from any job?

Yes

No

If yes, how many times _________

Has your employment ever been terminated by mutual agreement?

Yes

No

If Yes, how many times?_____

Have you ever been given the choice to resign rather than be terminated?

Yes

No

If you answered Yes to any of the above three questions, please explain the circumstances of each occasion.

References

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

Include Name, Position, Company, Relatioship and Phone number

Please list the names of personal references (not previous employers or relatives) who you know that we may contact.

Include Name, Position, Company, Relatioship and Phone number

DRIVING INFORMATION [Optional] (Complete only if driving is an essential function of the job for which you are applying).

Do you have a current valid driver’s license?

Yes

No

If yes, Please provide License No., Exp Date, and State

If you do not have a driver’s license for the state in which you currently reside, why not?

Has your license ever been suspended or revoked?

Yes

No

If yes, explain

Do you have personal automobile insurance?

Yes

No

If no, explain:

Please list all moving traffic violations in the last five years:

Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?

Yes

No

Please explain if yes

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