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Personal Information

Name
MM slash DD slash YYYY
Address
Emergency Contact Name

Additional Information

1. Are you legally eligible for work in the U.S.?
2. Are you at least 18 years old?
3. Have you worked for us before?
5. Have you ever had adjudication witheld, been arrested, or convicted or pled nolo contendere (no contest) to a felony or misdemeanor?
(NOTE: conviction does not automatically disqualify you from consideration of employment. The nature and date of the conviction, and the position for which you are applying will be considered.

Training/Experience/Education

Please Include: Employer, Dates Employed, Address, Phone #, Supervisor, Job Title, Salary Start & End, and Reason for Leaving.
Please Include: Name & City, Major, If you graduated, and courses.
Please Include: Name, Address, and Contact Phone #

Driving History

Please Include: State of Issuance, License No., Class, Endorsement(s), and Expiration.
A. Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
B. Has any license, permit, or privilege ever been suspended or revoked?
Have you ever been disqualified for violations of the Federal Motor Carrier Safety Regulations?
Attach a statement if needed for explanation.
I understand that submission of an application does not guarantee employment. I further under-stand that, should an offer of employment be extended by Triple J Management, LLC and its affili-ates, Triple J Grassing, LLC and Estate Landscaping & Lawn Management, LLC, as well as any entity that such employment is “at-will”, for no specified duration and may be terminated by either Triple J Management LLC and its affiliates, Triple J Grassing, LLC and Estate Landscaping & Lawn Management, LLC, as well as any entity or myself at any time, with or without cause. I un-derstand that none of the documents, policies, procedures, actions, statements of Triple J Man-agement LLC or it’s representatives that will be used during the employment process is deemed to be a real or implied contract of employment.(Required)
Authorization for Release: Triple J Management, LLC and its affiliates, Triple J Grassing, LLC and Estate Landscaping & Lawn Management, LLC, as well as any entity, is hereby authorized to make investigations as to my character, employment record, criminal record, credit history, driving record (MVR), or matters as may be deemed necessary in arriving at an employment decision. I hereby authorize former employers, law enforcement agencies, and other agencies and institu-tions to release employment, financial, criminal, and other types of background information to Tri-ple J Management LLC and its affiliates, Triple J Grassing, LLC and Estate Landscaping & Lawn Management, LLC, as well as any entity, and release these parties from all liability for any dam-age whatsoever that may ensue from furnishing such Information.(Required)
I agree to voluntarily consent to any lawfully administered applicable drug, alcohol and/or physical examinations and other employment-related tests.(Required)
I understand that this application is considered current for 30 days. If I wish to be considered for employment after this period I must complete and submit a new application.(Required)
Probationary period: If hired you will be placed on a 90-day probationary period beginning your first day of work. If terminated within a 90-day probationary period, employer may seek to contest any unemployment benefit you might attempt to obtain as a result of termination.(Required)
Applicant Certification: I have read and understood the instructions and certify that all answers and statements herein contained are true to the best of my knowledge. I understand that falsifica-tion of information on this application, related employment papers, and during all interviews may result in rejection of my application and, if employed, may result in disciplinary action up to and including termination of employment. I acknowledge that I am at least eighteen (18) years old.(Required)
Max. file size: 3 GB.

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