Countryside Property Maint. | Addison, NY | 607-377-1950

PERSONAL INFORMATION

Date available for work

How did you hear about Countryside Property Maintenance ?

Position applying for

Have you ever been employed here ?

Yes No

Will you work overtime if required ?

Yes No

For Snow Plowing, will you work throughout the evenings ?

Yes No

For Snow Plowing, will you work on weekends and holidays ?

Yes No

Are you currently employed ?

Yes No

If yes, may we contact your employer ?

Yes No

Have you ever been convicted of a crime ?

Yes No

If yes, give details

The applicant is hereby given notice that there is no obligation to disclose the existence of sealed or expunged records of convictions or arrests.

Trade / Business / Graduate School

Employment History

List most recent first. Include any job-related millitary service and volunteer activities. (You may exclude organizations that indicate race, color, religion, gender, national origin, handicap or other protected status.)

Address Telephone No.

Work Performed

Address Telephone No.

Work Performed

Address Telephone No.

Work Performed

Do you have a general driver license ?

Yes No

CDL license ?

Yes No

Are you an Union Operator

Yes No

English (speak, read, write)

Yes No

Spanish (Speak, Read, Write)

Yes No

Read Blueprint

Yes No

Grass Cutting (zero trun)

Yes No

PLant Installation

Yes No

Snow plowing experience (check all that apply)

Residential Commercial

Pick up truck with Salting Experience

Yes No

Pick up truck

Yes No

Salt TruckSalt Truck

Yes No

References:

List 3 individuals (not related to you) who are familiar with your work skills

We are an equal opportunity employer. We comply with all applicable Federal, State and Local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such law.

Before Submitting....

1. Complete the above employee application form.

2. Provide a copy of your driver’s license, if applicable.

3. Complete the MVR Authorization for Release Form, if you have a driver’s license.

NOTE: If you have a copy of your driving record, please supply a copy with this completed application.

Content, including images, displayed on this website is protected by copyright laws. Downloading, republication, retransmission or reproduction of content on this website is strictly prohibited. Terms of Use | Privacy Policy

Designed & Developed by Logify US

Employment Form

PERSONAL INFORMATION

EMPLOYMENT DESIRED

Education

Employment History

References:

Emergency Contact

Before Submitting....

1. Complete the above employee application form.

2. Provide a copy of your driver’s license, if applicable.

3. Complete the MVR Authorization for Release Form, if you have a driver’s license.

NOTE: If you have a copy of your driving record, please supply a copy with this completed application.

(607) 377-1950

Addison, NY

Mon-Fri 8:00 am - 5:00 pm

cspm_llc@yahoo.com