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| * Are you 18 years or older? | |
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| * Have you had any traffic violations within the past five years? | |
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| Are you prevented from lawfully becoming employed in the U.S.? | |
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| If so, may we inquire of your present employer?
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| Ever applied to this company before?
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| Name and Location of School | |
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| Name and Location of School | |
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| Name and Location of School | |
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| Trade, Business or Correspondence School | |
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| Name and Location of School | |
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| *The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.
**You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied. | |
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| Experience in Landscaping: (Please describe - grading, seeding, planting, etc.)
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| Commercial Applicators License? | |
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| US Military or Naval Service | |
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| Present Membership in National Guard or Reserves: | |
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