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Equal Employment Opportunity Employer

Mariposa Landscapes, Inc. Employment Application

We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us evaluate your qualifications for employment.

¿Necesita una solicitud en inglés? Haga clic aquí

Step 1 of 16

6%

Your Personal Information

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Permanent Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Are you less than 18 years old?(Required)

Yes

No

If hired, can you provide proof of identity and legal authorization to work in the U.S.?(Required)

Yes

No

Have you ever been employed by this organization before?(Required)

Yes

No

If yes, provide dates of employment:(Required)

Are you willing to work overtime or a flexible work schedule?(Required)

Yes

No

Employment Interest

Position Applying:(Required)

Position Desired or Area of Interest:(Required)

Maintenance

Trees

Irrigation

Landscaping

Fleet

Office

Date Available:(Required)

Salary Expected Per Hour:(Required)

How Were You Referred to Our Organization? (Advertisement, Employee, School, Agency, Self, Other)(Required)

Name of Referral Source:(Required)

Are you related to anyone working for Mariposa Landscapes?(Required)

Yes

No

If yes, Name and Relationship:(Required)

Driver Information (If Required for Position)

Do you have a valid driver's license?(Required)

Yes

No

License Number:(Required)

State:(Required)

Expiration Date:(Required)

Moving Violations in the Past 3 Years:(Required)

Accidents in the Past 3 Years:(Required)

Education & Military Service

Highest Level of Education:(Required)

High School

Name & Address:(Required)

Did You Graduate?(Required)

Yes

No

College/University

Name & Address:

Major:

Units Completed:

Degree/Diploma:

Other Education/Training

Name & Address:

Major:

Units Completed:

Degree/Diploma:

Have you been in the Military Service?(Required)

Yes

No

Languages You Speak:(Required)

Languages You Read:(Required)

Languages You Write:(Required)

References (List at least three professional references)

Reference #1

Name(Required)

First Last

Company Name(Required)

Phone(Required)

Occupation:(Required)

Years Known:(Required)

Reference #2

Name

First Last

Company Name

Phone

Occupation:

Years Known:

Reference #3

Name

First Last

Company Name

Phone

Occupation:

Years Known:

Employment History (10 Years) (List most recent employer first)

Employer #1

Company Name:(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Dates Employed (Month/Year): From __ to __(Required)

Job Title:(Required)

Supervisor's Name & Title:(Required)

Type of Business:(Required)

Description of Duties:(Required)

Reason for Leaving:(Required)

May we contact this employer?(Required)

Yes

No

Employer #2

Company Name:

Company Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:

Dates Employed (Month/Year): From __ to __

Job Title:

Supervisor's Name & Title:

Type of Business:

Description of Duties:

Reason for Leaving:

May we contact this employer?

Yes

No

Employer #3

Company Name:

Company Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:

Dates Employed (Month/Year): From __ to __

Job Title:

Supervisor's Name & Title:

Type of Business:

Description of Duties:

Reason for Leaving:

May we contact this employer?

Yes

No

Acknowledgment & Authorization

Terms and Conditions(Required)

1. I understand that prior to finalization of any offer of employment, the company may
condition the offer on satisfactory completion of a medical examination and/or a drug and
alcohol screen. I agree to sign a release form and submit to any required examinations.

2. I understand that any acceptance of employment will be predicated upon the truthfulness
of the written and verbal statements contained within this application and
pre-employment process. Any false statements may result in withdrawal of an offer or
immediate dismissal.

3. I authorize the company to make any investigation allowed by law regarding my
background for employment consideration.

4. I acknowledge that I have read and understand these statements and that if hired, I will
be an at-will employee and my employment may be terminated by either party at any
time without cause or notice.

I agree to the terms and conditions.

Upload Your Resume(Required)

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Signature(Required)

Date(Required)

Ready To Get Started?

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© Mariposa Landscapes, Inc.
Crafted With Care By Flatland Works

Mariposa Landscapes, Inc. - Employment Application Form

Equal Employment Opportunity Employer

We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us evaluate your qualifications for employment.

Step 1 of 16

6%

Your Personal Information

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Permanent Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Are you less than 18 years old?(Required)

Yes

No

If hired, can you provide proof of identity and legal authorization to work in the U.S.?(Required)

Yes

No

Have you ever been employed by this organization before?(Required)

Yes

No

If yes, provide dates of employment:(Required)

Are you willing to work overtime or a flexible work schedule?(Required)

Yes

No

Employment Interest

Position Applying:(Required)

Position Desired or Area of Interest:(Required)

Maintenance

Trees

Irrigation

Landscaping

Fleet

Office

Date Available:(Required)

Salary Expected Per Hour:(Required)

How Were You Referred to Our Organization? (Advertisement, Employee, School, Agency, Self, Other)(Required)

Name of Referral Source:(Required)

Are you related to anyone working for Mariposa Landscapes?(Required)

Yes

No

If yes, Name and Relationship:(Required)

Driver Information (If Required for Position)

Do you have a valid driver's license?(Required)

Yes

No

License Number:(Required)

State:(Required)

Expiration Date:(Required)

Moving Violations in the Past 3 Years:(Required)

Accidents in the Past 3 Years:(Required)

Education & Military Service

Highest Level of Education:(Required)

High School

Name & Address:(Required)

Did You Graduate?(Required)

Yes

No

College/University

Name & Address:

Major:

Units Completed:

Degree/Diploma:

Other Education/Training

Name & Address:

Major:

Units Completed:

Degree/Diploma:

Have you been in the Military Service?(Required)

Yes

No

Languages You Speak:(Required)

Languages You Read:(Required)

Languages You Write:(Required)

References (List at least three professional references)

Reference #1

Name(Required)

First Last

Company Name(Required)

Phone(Required)

Occupation:(Required)

Years Known:(Required)

Reference #2

Name

First Last

Company Name

Phone

Occupation:

Years Known:

Reference #3

Name

First Last

Company Name

Phone

Occupation:

Years Known:

Employment History (10 Years) (List most recent employer first)

Employer #1

Company Name:(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Dates Employed (Month/Year): From __ to __(Required)

Job Title:(Required)

Supervisor's Name & Title:(Required)

Type of Business:(Required)

Description of Duties:(Required)

Reason for Leaving:(Required)

May we contact this employer?(Required)

Yes

No

Employer #2

Company Name:

Company Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:

Dates Employed (Month/Year): From __ to __

Job Title:

Supervisor's Name & Title:

Type of Business:

Description of Duties:

Reason for Leaving:

May we contact this employer?

Yes

No

Employer #3

Company Name:

Company Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:

Dates Employed (Month/Year): From __ to __

Job Title:

Supervisor's Name & Title:

Type of Business:

Description of Duties:

Reason for Leaving:

May we contact this employer?

Yes

No

Acknowledgment & Authorization

Terms and Conditions(Required)

1. I understand that prior to finalization of any offer of employment, the company may
condition the offer on satisfactory completion of a medical examination and/or a drug and
alcohol screen. I agree to sign a release form and submit to any required examinations.

2. I understand that any acceptance of employment will be predicated upon the truthfulness
of the written and verbal statements contained within this application and
pre-employment process. Any false statements may result in withdrawal of an offer or
immediate dismissal.

3. I authorize the company to make any investigation allowed by law regarding my
background for employment consideration.

4. I acknowledge that I have read and understand these statements and that if hired, I will
be an at-will employee and my employment may be terminated by either party at any
time without cause or notice.

I agree to the terms and conditions.

Upload Your Resume(Required)

Upload your resume in .pdf, .doc or .docx format

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Signature(Required)

Date(Required)

Formulario de Solicitud de Empleo - Mariposa Landscapes, Inc.

Empleador que Ofrece Igualdad de Oportunidades de Empleo

Agradecemos su interés en nuestra organización y le aseguramos que estamos sinceramente interesados en conocer sus calificaciones. Tener una comprensión clara de su experiencia y antecedentes laborales nos ayudará a evaluar su idoneidad para el puesto.

Información Personal

Nombre Completo

Dirección Permanente

Ciudad

Estado

Código Postal

Teléfono

Correo Electrónico

¿Tienes menos de 18 años?

¿Eres menor de 18 años?

Sí No

Si eres contratado, ¿puedes proporcionar prueba de identidad y autorización legal para trabajar en los Estados Unidos?

Si eres contratado, ¿puedes proporcionar prueba de identidad y autorización legal para trabajar en los EE. UU.?

Sí No

¿Has trabajado anteriormente en esta organización?

¿Tienes menos de 18 años de edad?

Sí No

Fecha

¿Alguna vez has sido empleado por esta organización?

¿Estás dispuesto(a) a trabajar horas extra o con un horario flexible?

Sí No

Información de Contacto en Caso de Emergencia

Nombre del Contacto de Emergencia:

Relación:

Dirección de Emergencia:

Número de Teléfono de Emergencia:

Interés de Empleo

Puesto Solicitado:

Fecha Disponible:

Salario Esperado por Hora:

Puesto Deseado o Área de Interés: (Mantenimiento, Árboles, Riego, Paisajismo, Flota, Oficina)

¿Cómo fuiste referido(a) a nuestra organización?

Nombre de la Fuente de Referencia:

¿Estás relacionado(a) con alguien que trabaje en Mariposa Landscapes? Si la respuesta es sí, indica el Nombre y la Relación:

Información del Conductor (Si se Requiere para el Puesto)

Información del Conductor (si se requiere para el puesto)

¿Tienes uso completo de un automóvil? (Sí/No)

Sí No

¿Tienes una licencia de conducir válida? (Sí/No)

¿Tienes una licencia de conducir vigente?

Sí No

Número de Licencia:

Estado

Fecha de Vencimiento

Infracciones de Tránsito en los Últimos 3 Años:

Accidentes en los Últimos 3 Años:

Educación y Servicio Militar

Nivel Más Alto de Educación

Escuela Secundaria

Nombre y Dirección:

Especialidad:

Unidades Completadas:

¿Te Graduaste?

¿Te graduaste?

Sí No

Colegio Comunitario

Nombre y Dirección:

Especialidad:

Unidades Completadas:

¿Te graduaste?

Did You Graduate?

Sí No

Universidad

Nombre y Dirección:

Especialidad:

Unidades Completadas:

¿Te Graduaste?

¿Te graduaste?

Sí No

Otra Educación/Capacitación

Nombre y Dirección:

Especialidad:

Unidades Completadas:

¿Te graduaste?

¿Te graduaste?

Sí No

¿Has estado en el servicio militar?

¿Has estado en el servicio militar?

Sí No

Idiomas

Idiomas que Hablas:

Idiomas que Lees:

Idiomas que Escribes:

Referencias (Proporcione al menos tres referencias profesionales)

Referencia #1

Nombre:

Dirección:

Número de Teléfono:

Ocupación:

Años de Conocerlo(a):

Referencia #2

Nombre:

Dirección:

Número de Teléfono:

Ocupación:

Años de Conocerlo(a):

Referencia #3

Nombre:

Dirección:

Número de Teléfono:

Ocupación:

Años de Conocerlo(a):

Historial de Empleo (10 Años) (Comienza con el Empleador Más Reciente)

Empleador #1

Nombre de la Empresa:

Dirección de la Empresa:

Número de Teléfono:

Fechas de Empleo:

Título del Puesto:

Nombre y Título del Supervisor:

Tipo de Negocio:

Descripción de Funciones:

Motivo de Salida:

¿Podemos contactar a este empleador?

¿Podemos contactar al empleador?

Sí No

Employer #2

Nombre de la Empresa:

Nombre de la Empresa:

Número de Teléfono:

Fechas de Empleo:

Título del Puesto:

Nombre y Título del Supervisor:

Tipo de Negocio:

Descripción de Funciones:

Motivo de Salida:

¿Podemos contactar a este empleador?

¿Podemos contactar al empleador?

Sí No

Employer #3

Nombre de la Empresa:

Dirección de la Empresa:

Número de Teléfono:

Fechas de Empleo:

Título del Puesto:

Nombre y Título del Supervisor:

Tipo de Negocio:

Descripción de Funciones:

Motivo de Salida:

¿Podemos contactar a este empleador?

¿Podemos contactar al empleador?

Sí No

Reconocimiento y Autorización

1. Entiendo que, antes de finalizar cualquier oferta de empleo, la empresa puede condicionar dicha oferta a la finalización satisfactoria de un examen médico y/o una prueba de detección de drogas y alcohol. Estoy de acuerdo en firmar un formulario de autorización y someterme a los exámenes requeridos.
2. Entiendo que cualquier aceptación de empleo estará condicionada a la veracidad de las declaraciones escritas y verbales contenidas en esta solicitud y en el proceso previo al empleo. Cualquier declaración falsa puede resultar en la revocación de una oferta o en el despido inmediato.
3. Autorizo a la empresa a realizar cualquier investigación permitida por la ley sobre mis antecedentes para fines de consideración de empleo.
4. Reconozco que he leído y entiendo estas declaraciones y que, si soy contratado(a), seré un empleado(a) a voluntad, y mi empleo podrá ser terminado por cualquiera de las partes en cualquier momento, sin causa ni previo aviso.

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