Landry’s Landscape

Application

General Information

First Name* Middle Name* Last Name* Address* City* State* Zip Code* E-Mail* Home Phone* (xxx-xxx-xxxx) Cell Phone

Education and Training

Select the highest grade in years completed:

High School Level 8 9 10 11 12 University Level 1 2 3 4 Graduate School Level 1 2 3

Please provide the following information about your education
(including highschool, trade, and vocational universities).

School Name School Address Date of Admission Date of Completion Degrees/Diplomas

Special Qualifications or Certifications

(include name of institution, start and completion date of program,
date achieved):

Industry/Business Training

(Include business and industry seminars and workshops):

Course Date Taken Institution Providing Training What Did You Learn? How Did The Course Help You? How Did You Hear About Us? (newspaper, friend, etc.) Have You Worked For Us Before? Yes No If Yes, When? Do You Have A Valid Driver’s License? Yes No Do You Have A Car Yes No Is Your Current Driver’s License Clean? Yes No Please Describe Your Current State Of Health. Position First Applied For Expected Salary Please List Any Relatives That Are Current Landry’s Employees.

Present Employment History

Present Employer Present Employer’s Address Present Employer’s Phone Number Present Supervisor Present Employer’s Business Type Present Job Title Present Job Duties Why Are You Leaving? What Would Your Present Employer Say About You?

Past Employment History

(List most recent past employment.)

Past Employer Past Employer’s Address Past Employer’s Phone Number Past Supervisor Past Employer’s Business Type Past Job Title Past Job Duties When Did You Start? (m/y) When Did You Leave? (m/y) Why Did You Leave? What Would Your Past Employer Say About You?

By Selecting “YES” Below, I:

A. Authorize the verification of the above information, and any other necessary inquires that may be needed to determine my suitability for employment.
B. Affirm the above information is true.

YES Date * indicates required fields