Applicant Data

Education:

Professional Licenses or Membership

Skills

References

Previous Employment (begin with most recent position)

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Evans Landscaping, Inc. and its affiliates (“Evans”) to verify their accuracy and obtain reference information on my work performance. I hereby release Evans from any and all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that to falsify information is grounds for refusing to hire me or for discharge should I be hired.

I understand that all employees, regardless of their classification or position, are employed at an at-will basis.

This Application for Employment is valid for 30 days only. Consideration for employment afterwards requires a new application.

List ALL Convictions. This section MUST be completed. (If no convictions, please leave blank)

I hereby authorize the release of information by any parties regarding my previous employment, record of convictions for violations of any federal, state, or local laws and/or ordinances, my credit history by credit bureau organizations and my driving record.

I understand my prospective employer intends to use this background investigation for employment purposes only, and shall not disclose said information to any other party.

I hereby authorize Cost Control Services to release the results of their investigation of my background to my prospective employer.