Personal Information Employment Desired Education History Employment History References Disclaimer & Signature Name How did you learn about us? * Advertisement Friend Truck Internet Other First Name: * Last Name: * Middle Initial: Email Address: * City: * State: * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== 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: * Home Phone Number: Cell Phone Number: Are you 18 years of age or older? * Yes No Are you legally authorized to work in the United States? * Yes No Do you have any physical limitations that would prevent you from performing the duties involved in the position? * Yes No Have you ever applied to Tyler's Lawn Care before? * Yes No Position desired: * pos_time * Full-time Part-time Summer Winter When are you available to begin working? * Rate of desired pay: * Do you have any relatives or close friends who currently work for Tyler's Lawn Care? * Yes No Are you currently employed? * Yes No Do you have a current MA Driver's License? * Yes No CDL Do you have a valid Medical DOT card? * Yes No High School: Years attended: Did you graduate? Yes No College: Years Completed: Did you graduate? Yes No Major/Area of study: Other: Years attended: Did you graduate? Yes No Major/Area of study: Additional certifications, education, or experiences that might influence our hiring you: Employer #1: Address: Phone: Supervisor: Job title: Starting Salary: Ending Salary: From: To: Responsibilities: Reason for leaving: May we contact your supervisor for a reference? Yes No Employer #2: Address: Phone: Supervisor: Job title: Starting salary: Ending salary: From: To: Responsibilities:_emp2 Reason for leaving: May we contact your supervisor for a reference? Yes No List the name, address and phone number of three references who re not relatives or former employers. Name: Address: Phone: Name: Address: Phone: Name: Address: Phone: Upload resume: Add File I certify that the information on this application is true and complete to the best of my knowledge and understand that, if employed, withholding or falsification of information on this application, resume, or during interviews is sufficient grounds for dismissal or refusal or employment. My employment with Tyler's Lawn Care is contingent upon my successful completion of the company's total pre-employment screening process which may include assessment training, if appropriate, and Tyler's Lawn Care receiving references that it considers satisfactory. I authorize and request that those individuals I have listed as work-related references furnish information about my employment record, including statement of the reasons for the termination of my employment, work performance, abilities and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information. I authorize Tyler's Lawn Care and its representatives to investigate all information contained in this application.