Job Application

Cadillac Lawn Care INC

3900 Kennedy rd.

West Richland, WA 99353

Phone: 509-628-0111

Personal Information
Last	First	MI	SSN#	Email
Street Address			City	ST	Zip
Home Phone			Mobile Phone
Are you entitled to work in the United States? Yes No			Are you 18 or older? Yes No		If yes, Date of Birth
Have you been convicted of a felony or been incarcerated in connection with a felony in the past seven years? Yes No			If yes, please explain:
Military Service? Yes No		Branch	Are you a veteran? Yes No War
What position are you applying for?			How did you hear about this position?
Expected Hourly Rate	Expected Weekly Earnings	Date Available

Prior Work Experience
	Current or Most Recent	Prior	Prior
Employer
Address
City, ST, ZIP
Telephone
Name of Immediate Supervisor
Dates of Employment	From To	From To	From To
Position/Job Title
Pay
Reason for Leaving
May We Contact	Yes No	Yes No	Yes No

Education
	Name/Location	Last Year Completed	Degree	Major or Emphasis
High School		9 10 11 12
College/University		1 2 3 4
Trade School
Other
List any applicable special skills, training or proficiencies:

I certify that the information contained in this application is correct to the best of my knowledge. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.

Signature

Date