THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT, but merely is intended to evaluate suitability for employment. It is the policy of Zeppa's to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, genetic information, disability, veteran status, and any other legally protected status under state and federal law. It is also the policy of Zeppa's to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon a successful completion of a medical examination, which may include providing body substance samples.

Zeppa's is an at-will, equal opportunity employer.

• Lawn Mowing Crew Leaders & Crew Members
• Landscape Foreman
• Irrigation Technicians
• Fertilization and Weed Control Applicators

Personal Information

• First Name
  Middle Initial
  Last Name
• Street
• City
  State --select--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
  Zip
• Telephone Number(s)
  Social Security Number
• Date of Application
  How did you learn about us?
• Have you ever been convicted of a crime? Conviction will not necessarily disqualify you from employment.
  Yes No
• If yes, please explain

Education

• High School Attended
• Areas of Study
• Did you earn a Diploma?
  Yes No
•  
• Undergraduate College Attended
• Areas of Study
• Did you earn a Diploma?
  Yes No
•  
• Trade/Technical School Attended
• Areas of Study
• Did you earn a Diploma?
  Yes No

Employment Information

• Position Applied For
• Date You Can Start Work
  Desired Salary
• Do You Prefer:
  Full Time Part Time
• Can You Work
  Weekends Evenings
• Are you at least 18 years of age and legally eligible to work in the United States?
  Yes No
• Will you work overtime when necessary?
  Yes No
• Have you received a description of the job or been made aware of the essential functions of the job you are applying for?
  Yes No
• Do you understand the job requirements?
  Yes No
• If No, please explain
• Are you on layoff and subject to recall? Yes No
• Are you currently bound by a noncompetition or trade secret agreement?
  Yes No
• If yes, please explain
• Have you ever been discharged or asked to resign from a job?
  Yes No
• If yes, please explain
• Have you ever been involuntarily terminated from a job?
  Yes No
• If yes, please explain

Employment History

• May we contact your present empoyer?
  Yes No

• Please list your last three employers beginning with the most recent:

• Most Recent Employer
• City
  State --select--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
  Zip
• Phone
  Position Held
• Dates From/To
  Supervisor
• Pay
  Duties
• Reason for leaving
•  
• Next Most Recent Employer
• City
  State --select--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
  Zip
• Phone
  Position Held
• Dates From/To
  Supervisor
• Pay
  Duties
• Reason for leaving
•  
• Next Most Recent Employer
• City
  State --select--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
  Zip
• Phone
  Position Held
• Dates From/To
  Supervisor
• Pay
  Duties
• Reason for leaving

References

List Three Individuals Not Related to You, You Have Known for at Least 1 Year

• Name
  Phone
• Address
• Relationship
  Years Known
•  
• Name
  Phone
• Address
• Relationship
  Years Known
•  
• Name
  Phone
• Address
• Relationship
  Years Known

Job Related Skills

Please answer the following questions if the position you are applying for requires driving a motor vehicle:

• Do you have a valid driver's license?
  Yes No
• Driver's License Number
• State of Issue --select--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
• Have you been convicted of or pled guilty to any traffic related offence within the last 5 years?
  Yes No
• Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law?
  Yes No
• Please list all states from which you hold or have held a driver's license:
• Please use this space to list any special skills, licenses, or certifications you may have that relate to the position applied for.

Applicant's Certification Agreement

1. I authorize the investigation of all statements contained in this application and release from all liability any persons or employers supplying such information, and I also release Zeppa's from all liability which might result from making the investigation.

2. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission of facts on this application ( or on any required documents) may result in denial of employment or immediate termination of employment, regardless of when or how discovered.

3. I agree, if I am offered and accept a position, to conform to all existing and future Zeppa's rules and regulations and I understand that Zeppa's reserves the right to change wages, hours, and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMPLOYMENT WILL BE AT-WILL, MEANING THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON.

4. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.

• Enter your name as your signature
• Date

ZEPPA'S IS AN AT-WILL, EQUAL OPPORTUNITY EMPLOYER