Dembois Landscape Management

Employment Opportunities

Application For Employment

Please fill out the application completely. Incomplete forms with be discarded. Applications will be kept on file for 90 days.

First and Last Name:
Address
City:
Zip Code: (5 digits)
State:
Phone:
Email:
Date of birth:
Position Applied For:
Salary Desired:
Full or Part Time Desired: Days and Hours available
When Can You Start:
Education:Please name any schools you have attended. When, where and completion or graduation dates of any High school, College, Trade school, Computer Skills or Certification, etc...
Have You Ever Been Convicted Of A Crime:
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation
Do You Have A Valid Nevada State Drivers License? A valid Nevada License is needed for employment.
How Many Traffic Accident/moving Violations Have You Had In The Last 3 Years? Please Explain, If Any Have Occured:
Please List Two Reference Other Than A Relative Or Previous Employers:
Name:
Relationship:
Phone:
Have You Ever Been In the Armed Forces? If Yes, What Branch, Job Title, Discharge Date and Status:
Are You Know A Member Of The National Guard?:
Work History1:
Name Of Employer:
Address: Phone: Name Of Supervisor: Employment Dates:
Starting salary and Ending Salary:
Reason For Leaving:
Duties Performed, Skills Used or Learned, advancement or promotions received while employed:
Work History2:
Name Of Employer:
Address: Phone:
Name Of Supervisor:
Employment Dates:
Starting salary and Ending Salary:
Reason For Leaving:
Duties Performed, Skills Used or Learned, advancement or promotions received while employed:
Work History3:
Name Of Employer:
Address: Phone:
Name Of Supervisor:
Employment Dates:
Starting salary and Ending Salary:
Reason For Leaving: Duties Performed, Skills Used or Learned, advancement or promotions received while employed:
Work History4:
Name Of Employer:
Address:
Phone:
Name Of Supervisor:
Employment Dates:
Starting salary and Ending Salary:
Reason For Leaving:
Duties Performed, Skills Used or Learned, advancement or promotions received while employed
May We Contact Your Present/Past Employer(s)?:
Did You Complete This Application Yourself? If Not, Who did?:
Comments: