Employment Application Form "*" indicates required fields Step 1 of 4 25% Personal InformationYou will be considered for all positions without regard to race, color, religion, weight, height, sex, national origin, marital status, veteran status, the presence of a non-job related medical condition, handicap, or any other protected status required by law. Your Name* First Middle Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How many years have you resided at this address?*Cell Phone*Home PhoneDo you have a valid driver's license?* Yes No Are you a CDL holder?* Yes No Employment InfoPosition You're Applying For* Landscape Crew Leader Deck & Railing Crew Leader Install Apprentice (Fence, Deck & Rail, Landscape, Irrigation) Desired Salary or Hourly Rate*What are your expectations from our company?*Can you travel if required?* Yes No Are you currently employed?* Yes No If employed, why do you wish to change?Have you applied for employment here before?* Yes No Have you ever been employed by our company?* Yes No Do you have experience in the fencing, building, or landscaping industries?* Yes No On what date would you be available to start work?*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920How did you learn about Phillips Outdoor Services?* Facebook Instagram Website Google Current Employee Relative Friend TV Employment Agency Other Have you been convicted of a felony in the last 7 years?* Yes No To comply with laws concerning the employment of illegal aliens, can you provide proof of employability?*Proof of citizenship or immigration status will be required upon employment. Yes No Employment HistoryIf records are under a different name, please provide name for reference purposes, starting with present or last employer. List all employment including part-time or temporary positions. Employer #1Employer*Address* Street Address Address Line 2 City State ZIP / Postal Code Phone*Start Date* Month Day Year End Date Month Day Year Check If Still Employed Currently Employed Starting Job Title*Ending Job Title*Job Description & Responsibilities*Beginning Salary*Ending Salary*Reason for Leaving*Name of Supervisor* First Last PhoneWhat would your supervisor say were your strengths and weaknesses?*May we contact this employer?* Yes No Employer #2N/A N/A EmployerAddress Street Address Address Line 2 City State ZIP / Postal Code PhoneEmployed From Month Day Year Employed To Month Day Year Check If Still Employed Currently Employed Starting Job TitleEnding Job TitleJob Description & ResponsibilitiesBeginning SalaryEnding SalaryReason for LeavingName of Supervisor First Last PhoneWhat would your supervisor say were your strengths and weaknesses?May we contact this employer? Yes No Employer #3N/A N/A EmployerAddress Street Address Address Line 2 City State ZIP / Postal Code PhoneEmployed From Month Day Year Employed To Month Day Year Check If Still Employed Currently Employed Starting Job TitleEnding Job TitleJob Description & ResponsibilitiesBeginning SalaryEnding SalaryReason for LeavingName of Supervisor First Last PhoneWhat would your supervisor say were your strengths and weaknesses?May we contact this employer? Yes No ReferencesGive the name, occupation, phone number, and email address of three references not related to you.Reference #1Name* First Last Occupation*How Long Known?*Phone Number*Email Address* Reference #2Name* First Last Occupation*How Long Known?*Phone Number*Email Address* Reference #3Name* First Last Occupation*How Long Known?*Phone Number*Email Address* More About YouTell Us About Yourself. Include why you're a good fit for our company as it relates to leadership, organization and attention to details, your work ethic, passion for working outdoors, building, and being involved in a culture of excellence.*Upload Your ResumeUpload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 100 MB. Additional DocumentsUpload any additional documentsAccepted file types: pdf, doc, docx, Max. file size: 100 MB. URLAdd a link to your portfolio or past work.Untitled First Choice Second Choice Third Choice
