Employment Form

Employment Form

NOTE: bold field labels denote required fields
First Name Last Name
Date of Birth
Phone 1 Phone 2
 

Permanent Address

Street:
City/Town Postal Code/ZIP State/Country

Nantucket Address

Street:
 
Beginning: Ending:
Starting wage you are asking for? $
 

Employment History
Current
Employer:
Address:
Supervisor: 		Phone:
Dates of employment:
from: to
Employer :
Address:
Supervisor: 		Phone:
Dates of employment:
from: to
Employer:
Address:
Supervisor: 		Phone:
Dates of employment:
from: to
 

Education
Highest Level of Education Received Degree/Course
Location: Year of Graduation
 

References
1) Type: Name: Phone:
2) Type: Name: Phone:
3) Type: Name: Phone:
 

Thank you for your interest in DLW Garden Services. Your application will be reviewed and references verified. Make sure the information you provided is accurate. Candidates for employment will be contacted for an interview. We are an equal opportunity employer. A zero tolerance policy is strictly adhered to; any drug/ alcohol use will result in immediate termination.

The following questions are electives. If you do not wish to answer them, on the grounds that you feel they are discriminatory, be advised you may not be considered for the currently advertised position.

Status



Country of origin, passport # and valid date(s):
Do you have on island housing?
Do you have a valid drivers license?
Do you have a reliable method of transportation to work?
This job requires lifting, working in hot, cold and wet conditions. Contact with poison ivy and insects. Are you able to work under these conditions?