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Applicant Information
Full Name:
*
First
Last
Date:
*
MM slash DD slash YYYY
Address:
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Iowa
Kansas
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Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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New Jersey
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New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone:
*
Email:
*
Date Available:
*
Social Security No.:
Desired Salary:
Position Applied for:
*
Area
*
Landscape
Garden Center
How were you referred to Seoane's?
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you ever worked for this company?
*
Yes
No
If yes, when?
Have you ever been convicted of a felony?
*
Yes
No
*You will not be denied employment because of a conviction unless the offense is related to the job for which you have applied.
If yes, explain:
Have you ever collected funds due to a Worker's Compensation claim?
*
Yes
No
If yes, explain:
Do you have any physical limitations or chronic illness which might affect your performance?
*
Yes
No
If yes, explain:
Education
High School:
Address:
High School Date Range:
Did you graduate?
Yes
No
Diploma:
College:
Address:
College Date Range:
Did you graduate?
Yes
No
Degree:
Military Service
Branch:
Dates served:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Previous Employment
Company:
Company Phone:
Company Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Dates Employed:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Company:
Company Phone:
Company Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Dates Employed:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Licenses
Do you have a valid driver's license?
Yes
No
Do you have a valid D.O.T. Medical Certificate?
Yes
No
Do you have a Commercial Driver's License (CDL)?
Yes
No
If yes, what class?
Do you have a valid Hoisting Engineers License?
Yes
No
If yes, what class?
Additional Skills
Please identify any of the following areas pertaining to the position applied for that you have experienced
Identification of trees and shrubs
Identification of perennials and annuals
General planting techniques
General landscape design / plant placement
Knowledge of fertilizers / pesticides / herbicides
Installing retaining walls
Installing brick patios and walkways
Preparation of sod bed, laying sod
Lawn fertilization
Chemical application
Forklift operation
Skid Steer operation
Front End Loader operation
Excavator operation
Sod Cutter operation
Brick Cutter operation
Plate Packer operation
Chain Saw operation
Cash register/POS operations
Computer Skills: Microsoft Office/Excel/Word
Please list any additional skills you may bring to the position:
Signature:
Date
MM slash DD slash YYYY
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