ONLINE EMPLOYMENT APPLICATION      

Date:

Last Name:     First Name:     Middle Name:

Address:

City:     State:     Zip Code:

Telephone Number:     Social Security Number:

Position Desired:     Date Available For Work:

Salary Desired:

Yes No        Are you legally entitled to work in the U.S. for any employer?
                             (You will be required to provide proof upon offer of employment)

Yes No        Are you over the age of 18?

Yes No        Have you been convicted of or pled no contest to, or been released from prison
                             for a criminal offense?

If yes, please provide information regarding the nature of the offense.
(A conviction will not necessarily bar you from employment).

EDUCATION INFORMATION:
High School Name:        City:        State:

Diploma?   Yes    No    GED

Major/Courses Certification:

College Name:        City:        State:

Degree?   Yes    Type:    No    Last Year Completed:

Major/Courses Certification:

EMPLOYMENT INFORMATION:
Please list your last three (3) employers. List the most recent employer first.

Employer Name:    Phone:

Position Held:    From Date:    To Date:

Starting Salary:    Ending Salary:

Reason For Leaving:

Employer Name:    Phone:

Position Held:    From Date:    To Date:

Starting Salary:    Ending Salary:

Reason For Leaving:

Employer Name:    Phone:

Position Held:    From Date:    To Date:

Starting Salary:    Ending Salary:

Reason For Leaving:

PERSONAL INFORMATION:

In case of an emergency, please notify:

Phone:    Relationship:

PLEASE READ CAREFULLY BEFORE SUBMITTING:

This company is an equal opportunity employer and selects applicants based upon different factors of job related qualifications that best fits the needs of our company regardless of race, religion, color, creed, sex, sexual orientation, national origin, age, disability, or any other status or characteristics protected by law.

I understand by signing below, that this application does not guarantee me a position with this company and furthermore, this application does not obligate this company to offer me a job, or hire me.

In the processing of my application, an investigation may be conducted whereby information may be obtained from former employers. By signing below, I hereby grant permission to obtain any information deemed necessary by Chula Vista Landscaping to arrive at an employment decision and hereby release this company, its officers, employees, representatives, or agents from any and all liability and / or damages if the company decides not to hire me after reviewing my application.

In consideration of my employment, I agree to conform of the company policies and rules and regulations. I understand that my employment (and the terms and / or benefits provided or paid to me) is not intended and does not constitute, and must not be construed as a contractual relationship between my employer and myself. I also understand that my employment is at-will basis, meaning that the company may terminate my employment at any time, for any reason, and with or without cause.

Chula Vista Landscaping reserves the right to discipline me either verbally, in writing, if the company determines that my behavior or conduct during the course of my employment warrants such disciplinary action.

I also agree, and consent to a urine test whenever requested by the company to enforce it’s anti drug policy. I also agree to a search of my person or property while employed by the company, if the company deems appropriate, and recognize that refusal are sufficient grounds for termination.

I also attest that I am legally authorized to work in the United States. I also agree that I will be partially or fully responsible for equipment lost or damaged due misuse, or usage negligence, and that the fair market value will be deducted from my paycheck until paid in full. When driving a vehicle, I understand that I will pay the deductible, if applicable, of any at fault accident. I also agree to purchase, at value, the company logo shirts, and they will become my property. Upon six months of consecutive employment, the company shall give me a full refund for the shirts. NO REFUND shall be given if employment terminates prior to the six-month period. Employees shall be entitled to a replacement shirt from time to time as deemed necessary by his/her supervisor. At that time, the worn shirt is to be returned to the company for exchange. It is also understood that I will be responsible to purchase an additional uniform shirt, at value, due to uncleanliness or unsightly appearance. I will not be reimbursed for any additional shirts purchased.

I understand that, if hired, my employment will be terminated due to any omission misrepresentation, inaccuracies, or questionable documentation. If hired and during the course of my employment the company determines that my work quality is below company expectations, the company may demote me, or terminate my employment.

I understand that, if hired, and I violate any of the provisions of this application or if I am absent from work within 30 days of start of employment, I am subject to reduction of pay to prevailing minimum wage as provided by US Department of Labor reflected in my final paycheck.

This application will be on file for sixty days. After sixty days the applicant must reapply to be considered for future employment.

Copy of this form is prohibited without the express written consent of Chula Vista Landscaping. 09/2001
Revised 8/04

By submitting this online application you agree that this will be considered an original signature.