The job for which you are applying (Lawn Care Technician or Landscape)
Technician) includes the following essential functions:
1.Driving a tank or flatbed truck with a standard transmission alone.
2. Driving a truck that includes an attached trailer.
3. Maintaining a vehicle, including changing tires, oil, and washing.
4. Operating and maneuvering a 300 lb. lawn aerator.
5. Manipulating and recoiling a 200 ft, 1/2 inch thick hose.
6. Lifting moving approximately 60 lb. bags.
7. Walking outdoors.
8. Bending to inspect lawn, or to perform pruning, or other landscaping functions.
9. Use a calculator to measure and price lawns.
10. Obtain a pesticide license.
11. Pushing, pulling, and operating powered or manual landscaping equipment.
12. Raking grass, and or dirt or mulch.
13. Installation of trees and plant materials.

APPLICATION AGREEMENT (Please Read Carefully)
This Company is an equal employment opportunity employer. 
Federal law prohibits discrimination in employment practices because of race, color, religion, sex, national origin, citizenship 
status, age or disability if otherwise qualied with or without reasonable accommodation. 
 
No question on this application is asked for the purpose of limiting or excluding any applicant's consideration for employment 
because of his or her race, color, religion, sex, national origin, citizenship status, age or disability. 
 
I certify that all of the information given by me on this application or in supplemental form is true and 
correct to the best of my knowledge and belief. 
 
I further understand that false or misleading statements or consequential omissions of any kind on this application or 
supplemental forms are sucient cause for my not being hired or my dismissal if am hired. 
 
I agree, understand and authorize that this Company or its agents may investigate my background to 
ascertain any and all information of concern to my record, whether same is of record or not. 
 
I authorize the persons or organizations referenced in this application to give the Company any and all information concerning 
my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the 
subjects covered by this application and I release all such parties from all liability for any damage that may result from furnishing 
such information to this Company. 
I also agree and understand that under the Fair Credit Reporting Act, I have been told that this investigation may include an 
investigative consumer report, including information regarding my character, general reputation, personal characteristics and 
mode of living. If any such investigation results in denial of employment, I shall be so advised, the Company shall supply the 
name and address of the consumer reporting agency making the investigative report, and I will be given an opportunity to 
correct any misinformation contained in any such report. 
I agree and understand that the Company may require that I be approved for bonding as a condition of my employment. Further, 
I will comply with the Company's security policies and other policies, rules and procedures that may be established by the 
Company from time to time.
It is agreed and understood that this application for employment in no way obligates the company to employ me. If employed, 
I agree and understand that my employment is for no denite duration and may be terminated at-will by either the 
Company or me.
It is agreed and understood by me that participation in any of the benet programs of the Company does not create a contract 
of employment for a denite period of time. Additionally, statements of Company policy are not considered a contract and 
cannot create a contract of employment for any denite duration. I agree and understand that only the ocers of the Company 
have the authority to establish a contract of employment with me, and that any such contract must be in writing, designated as 
an employment contract, and signed by both parties.

In the event of my employment, any Company materials entrusted to me during the course of my employment will be returned 
to the Company on the last day of my employment, whether I resign or be terminated. 
 
I agree and understand, that should I be employed, I will not at any time or in any manner, either directly or indirectly, divulge, disclose or communicate to any person, firm or corporation any matters affecting or relating to the business of the Employer,
including, without limiting the generality of the foregoing, any of its customers, the prices it attains or has attained from the sale 
of, or which it sells or has sold, its services or products, its manner of operation, its plans, and any other "proprietary information. 
 

I realize that I may be asked to sign a confidentiality agreement consistent with this paragraph as a condition of employment. 
 
I agree and understand that should the Company advance me any money during the course of my employment and that said advance is not paid off prior to the termination of my employment with the Company, the Company may deduct money due it from my final pay to the extent allowed by law, and I will be responsible for paying off the remainder of said loan immediately. 

 
This certifies that this application was completed by me, and that all entries on it and information in it are all true and complete, to the best of my knowledge.

Date *
Date
Name *
Name
Address *
Address
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Are You Over The Age Of 18? *
Have you ever been known by any other name? *
Do you have, or can you obtain the necessary documents that would permit you work in the United States? *
If no, do you have a work permit?
Have you ever been employed here before? *
Do any of your friends or relatives work here? *
Status desired: *
Days Available To Work *
When available to begin work?
When available to begin work?
Have you ever been convicted of a felony: *
Do you have a drivers license? *
Have you had any accidents in the past 3 years? *
Do you had any moving violations in the past 5 years? *
Education
Are you a veteran of the U.S. Military Service? *
Previous Employment (list up to 3)
1.
Dates of employment:
From *
From
To *
To
Address *
Address
Phone *
Phone
May we contact your employer: *
2.
Dates of employment:
From: *
From:
From: *
From:
Address *
Address
Phone *
Phone
May we contact your employer: *
3.
Dates of employment:
From *
From
To *
To
Address *
Address
Phone *
Phone
May we contact your employer: *
Skills
Computer
References
Name *
Name
Address *
Address
Phone *
Phone
Name *
Name
Address *
Address
Phone *
Phone
Name *
Name
Address *
Address
Phone *
Phone
Information For Job Applying:
Do you have any allergies to prohibit you from working with plants, plant material, pesticides, herbicides or fertilizers? *
Have you ever been disciplined or counseled by any previous employer regarding failure to comply with safety rules? *
Can you perform computer input of data entry tasks? *
Do you take shorthand?
If required for the position for which you are applying, will you consent to a post offer physical examination, periodic physical examinations and blood or urine analysis? *
(Note: This analysis may test for controlled substances) Yes No The results of any physical examination will be considered for employment purposes only as it relates to the ability to perform the essential functions of the position for which you would be employed. Furthermore, post employment exams are related to fitness for duty determination. All results of physical exams are kept confidential.
Do you understand that if employed your attendance record must meet the requirements set by the company? *
Have you ever signed any type of agreement that may in any way restrict your performance of services for Torbett's Lawncare, LLC? *
Agreement
I understand by hitting submit that I am agreeing to all the criteria stated in this application and requirement stated on this form and that I am submitting as my signature.