Job Applications

Please visit this page on a laptop/desktop computer to complete your application.

Personal Data
Last Name
First Name
M.I.
Street address
Unit/Apt./Lot. #
City
State
ZIP
Phone Number
Do you have a valid driver’s license?
- Yes
- No
License #
State
Exp. Date
Date Format: MM slash DD slash YYYY
Commercial Drivers License?
- Yes
- No
Type?
Social Security #
Are you eligible for employment in this country?
- Yes
- No
Are you at least 18?
- Yes
- No
Email Address
APPLICATION / EMPLOYMENT STATUS
Date of Application:
List any prior dates of employment and positions with Topeka Landscape:
List position and/or type of work for which you are applying:
If referred to Topeka Landscape, who provided the recommendation?
Type of employment desired:
- Full-Time
- Part-Time
- Seasonal
- Temporary
Date available for work:
What is your desired salary or rate of pay?
Are you available to work overtime, if necessary?
- Yes
- No
EDUCATION HISTORY
School name
Location
(city, state)
Major course
or subject
Dates attended
From To
Graduated
Yes No
Degree
High school
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
- Yes
- No
Technical/trade (after high school)
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
- Yes
- No
College (list all attended)
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
- Yes
- No
Other education/training
Date Format: MM slash DD slash YYYY
Date Format: MM slash DD slash YYYY
- Yes
- No
Employment Record
Starting with present or most recent, list all previous employers; include self-employment and summer and part-time jobs. If more space is required, please continue on a separate sheet. You may attach a resume, but complete this application as well.
Last or present company
Job Title
Street address
Phone number
Brief description of job duties
City
State
ZIP code
Supervisor’s name
Phone number
Base salary
Dates worked From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Reason for leaving
Last or present company
Job Title
Street address
Phone number
Brief description of job duties
City
State
ZIP code
Supervisor’s name
Phone number
Base salary
Dates worked From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Reason for leaving
Last or present company
Job Title
Street address
Phone number
Brief description of job duties
City
State
ZIP code
Supervisor’s name
Phone number
Base salary
Dates worked From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Reason for leaving
PERIODS OF UNEMPLOYMENT
Please use this space to provide details regarding any periods of unemployment (list dates and explanations):
OTHER SKILLS AND QUALIFICATIONS
Describe any other skills or qualifications you would bring to Topeka Landscape if you were hired. Please list any tools you have experience using.
OUTSIDE ACTIVITIES
(Exclude those indicating race, color, religion, sex, national origin, age, or handicap.)
Professional memberships, certificates, or licenses held
Past and present civic or cultural activities — include offices held
Principal hobbies
SPECIAL SKILLS
To be completed by applicant for office/clerical/supervisor work
Typing
- Yes
- No
Words per minute:
Dictation
- Yes
- No
Words per minute:
Computer skills
- Hardware
- Software
Served apprenticeship?
- Yes
- No
Type:
EQUIPMENT EXPERIENCE
To be completed by applicant for supervisor/crew work
Type of machines operated
Years experience
List other shop/production skills not listed above, if any.
Type of Equipment Operated
Years of Experience
Military Record
Branch of service
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Present military affiliation:
- None
- Reserve (active)
- Reserve (inactive)
Kinds of training and duty while in service:
Criminal Record
Note: A criminal record or conviction will not disqualify you from consideration for employment. However, you will not be considered if fail to truthfully complete this selection.
Have you ever been convicted of a crime?
- Yes
- No
If yes, list date(s) and nature of offence(s):
Name and location of court:
Disposition of case:
Name / Number of probation / parole officer:
Are there any felony or misdemeanor charges pending against you?
- Yes
- No
Describe:
PROFESSIONAL/WORK REFERENCES
Name
Title/relationship
Address (street, city, state, ZIP code)
Phone no. (include are code)
Occupation
May we contact your present employer?
- Yes
- No
I hereby certify that the answers and other information on this application are true and correct and that I understand any misrepresentation or omission of facts on my part will be justification for separation from the company’s service, if employed. I understand that my employment may be contingent upon receipt of an alien registration number, verification of birth, and any other pertinent information bearing upon my employment, and that my continued employment depends upon the will of the company or myself.
Date
Date Format: MM slash DD slash YYYY
Signature

Topeka Landscape

3220 SW Auburn Rd Topeka, KS 66614

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The information on this website is for informational purposes only; it is deemed accurate but not guaranteed. It does not constitute professional advice. All information is subject to change at any time without notice. Contact us for complete details.

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