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Use the form below to inquire about employment opportunities with our company.

Personal
Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State ZIP Code
How long have you lived at this address?*
Phone*
Email*
If under 18, please list age
Employment Interests
Position applied for*
Desired pay*

(Please be specific)
Days/Hours available to work:
- No Preference
Sunday
From
To
Monday
From
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Tuesday
From
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Wednesday
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Thursday
From
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Friday
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Saturday
From
To
How many hours can you work weekly?*
Can you work evenings?*
- Yes
- No
Employment Desired:*
- Full time only
- Part time only
- Full time or part time
When available to start if hired*
MM slash DD slash YYYY
School history:
Where did you attend school? (Click the + button to add a new row)*
Type of School Name of School Location # Years Completed Major/Degree

In "Type of School", for example, you can enter High School, College, Trade school etc.
Have you been convicted of a crime?*
- Yes
- No
If yes, please explain (be specific)
Do you have a valid drivers license?*
- Yes
- No
Type
- Operator
- CDL
- Commercial
Expiration date
MM slash DD slash YYYY
What is your means of transportation to work?*
Have you had any accidents in the last 3 years?*
- Yes
- No
If yes how many?*
Have you had any moving violations in the last 3 years?*
- Yes
- No
If yes how many?*
References
Please list 2 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.
Work Experience
Please list your work experience for the past 5 years beginning with your most recent job held. If you were self employed, give firm name.
Name of Employer (Most Recent)
Address
Company Address Company Address Line 2 City State ZIP Code
Phone
Supervisor
Dates Employed
From To
Pay/Salary
Start End
Job Title
Reason for leaving
List jobs, duties, skills used or learned.
May we contact this employer for a reference?
- Yes
- No
Please explain.
Did you have another job before this one?*
- Yes
- No
Company Name (Second Most Recent)
Address
Company Address Company Address Line 2 City State ZIP Code
Phone
Supervisor
Dates Employed
From To
Pay/Salary
Start End
Job Title
Reason for leaving
List jobs, duties, skills used or learned.
May we contact this employer for a reference?
- Yes
- No
Please explain.
Would you like to list another previous job?
- Yes
- No
Company Name (Third Most Recent)
Address
Company Address Company Address Line 2 City State ZIP Code
Phone
Supervisor
Dates Employed
From To
Pay/Salary
Start End
Job Title
Reason for leaving
List jobs, duties, skills used or learned.
May we contact this employer for a reference?
- Yes
- No
Please explain.
Would you like to list a 4th job?
- Yes
- No
Company Name (Fourth Most Recent)
Address
Company Address Company Address Line 2 City State ZIP Code
Phone
Supervisor
Dates Employed
From To
Pay/Salary
Start End
Job Title
Reason for leaving
List jobs, duties, skills used or learned.
May we contact this employer for a reference?
- Yes
- No
Please explain.
Would you like to list a 5th job?
- Yes
- No
Company Name (Fifth Most Recent)
Address
Company Address Company Address Line 2 City State ZIP Code
Phone
Supervisor
Dates Employed
From To
Pay/Salary
Start End
Job Title
Reason for leaving
List jobs, duties, skills used or learned.
May we contact this employer for a reference?
- Yes
- No
Please explain.
If offered a position to work for this company, how much notice do you need to offer your current employer?
Military Service
Have you ever served in the U.S. Armed Services?
- Yes
- No
Specialty
Date entered
MM slash DD slash YYYY
Date discharged
MM slash DD slash YYYY
Have you ever been a member of the National Guard?
- Yes
- No
Specialty
Date entered
MM slash DD slash YYYY
Date discharged
MM slash DD slash YYYY
Please read and sign the following statement: I certify that all information provided in all my application material is true. I understand that any false statement made herein is sufficient reason for rejection of this application or termination of subsequent employment regardless of date of discovery. I authorize Edison Landscape & Deck Lighting to investigate all statements made in my application material for employment. Disclosure of convictions within this application does not automatically disqualify me for employment; however, information obtained from the investigation will be used in the employment review process. I have carefully read and understand this statement and, by my typed signature below, not such.
Digital Signature:

Entering your First Name + Middle Initial + Last Name will act as your digital signature.
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Contact

Edison Landscape & Deck Lighting
9883 South Avenue
Poland, OH 44514

234-759-3096
edisonlandscapelighting@yahoo.com

Events

Contact

Edison Landscape & Deck Lighting
9883 South Avenue
Poland, OH 44514

234-759-3096
edisonlandscapelighting@yahoo.com

Apply Today!

Personal

Employment Interests

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

School history:

References

Work Experience

Military Service

Contact

Events

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Type of School	Name of School	Location	# Years Completed	Major/Degree