Employment Application If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Please fill out contact information below: First Name * Last Name * Phone * Email * Address 1 * Address 2 City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Please tell us about your current or most recent employment: Company Name Employer First Name Employer Last Name Employer Phone Number Reason For Leaving Please tell us a little about your duties and responsibilities Pay Rate (hr or salary) Can we contact this employer? Please provide us with two references First Reference: Reference 1 First Name * Reference 1 Last Name * Reference 1 Phone * What is your relationship with your first reference? * Second Reference: Reference 2 First Name * Reference 2 Last Name * Reference 2 Phone * What is your relationship with your second reference? * Tell us a bit about why you'd like to work for Town & Country Why would you be a good fit at Town & Country Lawn Service? Why do you want to work here at Town & Country Lawn Service? I certify that all the above information is true and complete to the best of my knowledge. I authorize Town & Country Management to investigate all contents in this application as may be necessary for consideration of my application of employment. I understand any false or misleading claims will be considered grounds for dismissal of my application or discharge. *