Employment | LEI Corporation

Introductory Information

Name*

Date*

City*

State*

Zip*

Phone*

Email*

Address*

Emergency Contact

Name*

Relationship*

Phone*

Applicant Questions

Type of worked desired*

Salary desired (per year)*

Date Available*

If hired, can you provide documents required to establish your eligibility to work in the U.S.?*
YesNo

Are you 18 years of age or older?*
YesNo

How were you referred to Landscaping Etc., Inc.?*

Have you ever been fired from a job or asked to resign?*

YesNo

If yes, please explain.

Education

High School or last grade completed*

Name & Address of School*

Course of Study*

Number of years completed*

Degree/Diploma*

College or Technical School

Name & Address of School*

Course of Study*

Number of years completed*

Degree/Diploma*

Other Schooling or Training

Name & Address of School*

Course of Study*

Number of years completed*

Degree/Diploma*

Military Experience

Branch of Service*

From*

To*

Rank/Type of Service*

Job-Related Training/Experience*

Record of Employment

List positions (including volunteer positions) starting with most recent

1.Employer

Telephone

Address

Position Title

Supervisor

Supervisor’s Phone

Supervisor’s Email

Start Date

Date Left

Beginning Salary

Ending Salary

Duties

Reason for Leaving

Add More Employer

2.Employer

Telephone

Address

Position Title

Supervisor

Supervisor’s Phone

Supervisor’s Email

Start Date

Date Left

Beginning Salary

Ending Salary

Duties

Reason for Leaving

Add More Employer

3.Employer

Telephone

Address

Position Title

Supervisor

Supervisor’s Phone

Supervisor’s Email

Start Date

Date Left

Beginning Salary

Ending Salary

Duties

Reason for Leaving

Work Related References (Do not include relatives)

Sr. No.	Name	Occupation	Years Known	Contact Information
1.
2.
3.

Application for Employment

Introductory Information

Emergency Contact

Applicant Questions

Education

High School or last grade completed*

College or Technical School

Other Schooling or Training

Military Experience

Record of Employment

Work Related References (Do not include relatives)

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