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First Name: Last Name: Today's Date:

Address:       City:       Zip:       Phone:      Alternate Phone:      Date of Birth:      S.S.N:     
Are you at least 18 years old?  
Are you currently employed?        Where?:      How long have you been employed here? (years):      Do you hold a valid driver's license?     State?     DL#     Class of License:     Can you drive a standard shift?(type yes or no)     Have you had any driving accidents or violations in the past three years?(type yes or no)     Have you ever been convicted of a misdemeanor or felony?(type yes or no)     If yes, please explain:     List any special skills or training:     

High School      No. of years     Graduated     Major     

College      No. of years     Graduated     Major     

VoTech      No. of years     Graduated     Major     

Employment History:
Employer      No. of years     Reason for Leaving     

Employer      No. of years     Reason for Leaving     

Terms and Conditions that you must agree to prior to application:

I hereby grant permission to Carson Landscaping, Inc. and its representatives to undertake a Drivers License Check for Validity and History and a Background Check or other verification checks for the information provided in my Employee Application. I understand that any information obtained will be for the purpose of gaining and continuing Employment into Carson Landscaping, Inc and will be held in strict confidence. Any information gathered will be shared only with those individuals necessary to make a decision pertaining to my Employment with Carson Landscaping, Inc.

I understand that granting permission to do any background check does not cause either party to incur any obligation, nor does it guarantee Employment.

I understand that Carson Landscaping, Inc. is relying in part upon the information that I have provided and contained in my Employee Application to determine whether I am qualified for Employment and representations contained in my Employee Application are true.

I understand that Carson Landscaping, Inc. will undertake a Drivers License Check or other checks throughout the course of my Employment and any Information received may result in termination of Employment.

I agree to the above terms and conditions:  

I am interested in working at Carson.