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Neils Lunceford Employee Application
Cambiar Idioma
First Name
Middle Initial
Last Name
Email
Phone
Are you 18 years or older?
Yes
No
Are you leagally allows to work in the USA?
Yes
No
Physical Address
Address
State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
City
Select City
Your Mailing Address
Same as Physical Address
Mailling Address
Mailling State
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Mailling Zip Code
Mailling City
Select City
Most jobs at Neils Lunceford require driving a vehicle
Do you have a valid Driver's License?
Yes, a Colorado License
Yes, an Out-of-State License
No
Have you had any, any at all, moving violations in the last 5 years?
Yes
No
Please Note: Employees expected to drive for the company will need to furnish a Motor Vehicle Record before receiving a final offer of employment.
Job Detail
What position are you applying for?
Position
Landscape Maintenance
Landscape Construction
Retail Nursery
Administration
Other
When can you begin?
What is your Availability?
Full Time
Part Time
Rate of Pay Desired
What is your highest level of Education?
Choose one
High School
College
Bachelors Degree
Advanced Degree
How did you find out we are hiring?
Choose one
Facebook
Instagram
Craigslist
A friend
In Passing
PSIA
Other
Do you have previous relevant work experience?
Yes
No
Do you have any relevant special training or skills?
Last Employer Detail
What is the name and address of your current or last employer?
May we contact them?
Yes
No
Your Job Title
When did you start?
When did you leave?
Name and Title of your Supervisor
Supervisor's phone number
Description of work and reason for leaving
Please provide two references that are not related to you
First Reference Name
First Reference Phone Number
Second Reference Name
Second Reference Phone Number
Our positions require sustained physical labor including, but not limited to: prolonged standing, kneeling, bending, etc. and repetitive lifting up to 50 lbs., etc. Are you able to perform the tasks required for the position you are applying?
Yes
No
All Positions Are Seasonal Jobs. When is the approximate last date you can work?
CONSENT TO BACKGROUND CHECK:
I hereby authorize Neils Lunceford, Inc. (hereafter known as “the Company”) and its agents to make investigation of my background, references, character, past employment, education, and criminal history record information which may be in any state or local files, including those maintained by both public and private organizations, and all public records, for the purpose of confirming the information contained on my application and/or obtaining other information which may be material to my qualifications for employment. A telephone facsimile (fax) or xerographic copy of this consent shall be considered as valid as the original consent. I hereby consent to the Company’s verifying all the information I have provided on my application form. I also agree to execute as a condition of employment or a condition of continued employment any additional written authorization necessary for the Company to obtain access to and copied of records pertaining to this information. I also hereby authorize the Company’s access to any medical histories or records pertaining to me. With regard to the foregoing disclosures, I hereby agree to release any person, company, or other entity from any and all causes of action that otherwise might arise from supplying the Company with information it may request pursuant to this release. I understand that any false answers or statements, or misrepresentations by omission, made by me on this application or any related document, will be sufficient for rejection of my application or for my immediate discharge should such falsifications or misrepresentations be discovered after I am employed.
Yes
No
ACKNOWLEDGEMENT OF MOTOR VEHICLES RECORD
understand that I am required to provide a copy of my Motor Vehicle Report (MVR) at the time of an interview, if one is granted. I further understand that the information in my MVR may be used for hiring or employment purposes, and for insurance underwriting or rating purposes. Failure to provide this documentation will stop the interview process until such time as an MVR is presented.
Yes
No
ACKNOWLEDGEMENT SEASONAL EMPLOYEE STATUS
I understand and acknowledge that should I be offered a position with Neils Lunceford Inc. this position will be Seasonal in nature as defined by Code of Federal Regulations 29 CFR 500.20(s)(1) and employment is limited to the summer working season.
Yes
No
Your Signature
Submit