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Richmond, Glen Allen, Midlothian
(804) 672-2887 (CUTS)
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Weeded! Lawn Service
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Application
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Our mission:
To be the best place to work!
Join Us!
About you:
What is your name?
What is your phone number?
What is your cell phone’s carrier?
Do you have valid driver’s license?
Yes
No
What is your driving record like?
Do you have reliable transportation to work? We are Not on the bus line.
Yes
No
Is there any reason you can Not work Monday through Friday 7 am to 5:30 pm?
Yes
No
What is your address?
Work Experience:
Where do you work Now (or what was your last job)?
What do (did) you do there?
How long were you there?
Why are you leaving/did you leave?
What was the pay?
If currently at a job, does your supervisor know you are looking for another job?
Yes
No
Can we call them (please list phone number)?
Yes
No
Supervisor Name:
Phone Number:
What job did you have before that one?
What do you do there?
How long were you there?
Why are you leaving/did you leave?
What was the pay?
Can we call them (please list phone number)?
Yes
No
Supervisor Name:
Phone Number:
What job did you have before that one?
What do you do there?
How long were you there?
Why are you leaving/did you leave?
What was the pay?
Can we call your supervisor there (Please list name and number)?
Yes
No
Supervisor Name:
Phone Number:
Do you have commercial lawn mowing experience?
Yes
No
What brands of equipment?
Next Section
We would like to know more about you!
What is your birthday? (month and day only)
Emergency contact 1:
Name:
Phone:
Emergency contact 2:
Name:
Phone:
What is your favorite restaurant?
What is your favorite beverage?
What is your favorite snack food item?
What is your favorite thing to do while not working:
If you could have anything on the job with you to make your day easier, happier, better, what would that be?
Is there anything you would like to tell us about yourself?
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Almost there!
If under 18, please list age
Position applied for (1)
and salary desired (2)
(Be specific)
Days/hours available to work:
No Preference
Mon
Tue
Wed
Thur
Fri
Sat
Sun
TYPE OF SCHOOL
High School
College
Bus. or Trade School
Professional School
NAME OF SCHOOL
TYPE OF SCHOOL
High School
College
Bus. or Trade School
Professional School
LOCATION
TYPE OF SCHOOL
High School
College
Bus. or Trade School
Professional School
# OF YEARS COMPLETED
TYPE OF SCHOOL
High School
College
Bus. or Trade School
Professional School
MAJOR & DEGREE
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
Yes
No
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.
MILITARY
HAVE YOU EVER BEEN IN THE ARMED FORCES?
Yes
No
ARE YOU NOW A MEMBER OF THE NATIONAL GUARD?
Yes
No
Specialty
Date Entered
Discharge Date
DO YOU HAVE A DRIVER’S LICENSE?
Yes
No
Do you have reliable transportation to and from work?
Yes
No
Driver’s license number
State of issue
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
Expiration date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year: 2026
2026
2027
2028
2029
2030
2031
2032
Have you had any accidents during the past three years?
Yes
No
How many?
0
1
2
3
4
5
6+
Have you had any moving violations during the past three years?
Yes
No
How Many?
0
1
2
3
4
5
6+
Please list two references other than relatives or previous employers.
Name:
Position:
Company:
Address:
Telephone ( ):
Name:
Position:
Company:
Address:
Telephone ( ):
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
PLEASE NOTE: Applicants May Be Tested For Illegal Drugs
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