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Landscape Planner

Now at the Lakes!

Application For Employment

Please complete all information requested below.

* An asterisk denotes important items.

Personal Information:
	* Name:		* Social Security#:
	* Present Address:		* City:
	* State:		* Zipcode:
	* Permanent Address:		* City:
	* State:		* Zipcode:
	* Email:		* Phone#:
	* Mobile:		* Referred By:

Employment Desired:
* Position:		* Date:		* Salary Desired:
* Are You Employed?		* If So May We Inquire of Your Present Employer?
* Ever Applied to Paragon Before?		* Where:		* When:

Education History:
	Name & Location of School:	Yrs Attended:	Did You Graduate?	Subjects Studied:
* Grammar School:
* High School:
College:
Trade, Business, or Correspondence School:

General Information:
	Subjects of Special Study/Research:
	U.S Military or Naval Service:		Rank:

Former Employers:

Date/Month/Year:
00/00/0000

Name & Address of Employer:

Salary:

Position:

Reason For Leaving:

From:
To:

From:
To:

From:
To:

From:
To:

References:
Name:	Address:	Business:	Phone Number:	Years Known:
*

Questions & Comments:
	Questions & Comments:

Authorization:
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release Paragon Landscape, Inc. from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of Paragon Landscape, Inc. has any authority to enter into any agreement for employment for any specified period of time, the release of use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

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