Lamphear’s Lawn Service | Job Application | Landscaping Jobs Medina

3344 Pearl Road Medina, OH 44256

Call 330-725-2102

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SNOW SUB CONTRACTOR APPLICATION

Application Form

Upload Resume (If Applicable)

Upload References (If Applicable)

Upload Any Current Or Previous Work Experience (If Applicable)

Name

Address

Home Phone

Cell Phone

Email

Date Of Birth

Driver Lic. #

SSN

Years of Experience

Do you hold Commercial Liability Insurance?

Yes

No

If you hold Commercial Liability Insurance, how much?

Own Equipment

If you have your OWN equipment that you would like to use, please complete the following section:

SKID STEER

SKID STEER

How Many?

Plows for Machine?

Yes

No

Make

Model

Year

Pay Rate

Opt-In

By Checking, I Authorize Lamphear's Lawn Service To Complete A Criminal Background Check On Me.

Opt-In

By Checking, I Authorize That My Answers Are True To The Best Of My Ability And Knowledge. If This Application Leads To Employment, I Understand That False Or Misleading Information In My Application Or Interview May Result In My Release.

Date

PICKUP TRUCK/DUMP TRUCK WITH PLOW

PICKUP TRUCK/DUMP TRUCK WITH PLOW

How Many?

Size of Plow?

Make

Model

Year

Pay Rate

ATV WITH PLOW

ATV WITH PLOW

How Many?

Make

Model

Year

Pay Rate

If you would like to run OUR equipment, please complete the following section:

If you would like to run OUR equipment, please complete the following section:

Sidewalk Crew?

Yes

No

Bobcat?

Yes

No

Truck

Yes

No

Based on your input above, what position would be the best fit for you?

Do you have a preference on equipment to operate?

Yes

No

If you have a preference, please explain

Do you have any limitations for work hours?

Yes

No

If you have a limitation, what are they?

Do you plan to apply for unemployment this winter?

Yes

No

If you plan to apply, when?

Driving History

Driving History:

Do you have a valid Drivers License?

Yes

No

In What state are you a Licensed Driver?

Expiration Date of Your Drivers License

If you held a license in any OTHER state during the last 3 years, please provide the following information

If you held a license in any OTHER state during the last 3 years, please provide the following information

1). Dates:

1). State:

2). Dates:

2). State:

3). Dates:

3). State:

Have you been convicted of driving while impaired or under the influence of alcohol and/or drugs within the past 3 years?

Yes

No

If yes, give explanation(s) and date(s)

Have you been refused to submit to a Blood Alcohol Content (BAC) test within the past 3 years?

Yes

No

If yes, give explanation(s) and date(s):

Have you been convicted of reckless driving, or leaving the scene of an accident, or commiting a felony involving a vehicle within the past 3 years?

Yes

No

Have you had your operator's license suspended, revoked or administratively restricted within the past 3 years?

Yes

No

If yes, give explanation(s) and date(s)

Have you been convicted or found at fault for any NON-fatal accident involving a motor vehicle within the past 3 years?

Yes

No

If yes, list the date(s)

Have you been convicted or found at fault for any fatal accident involving a motor vehicle within the past 3 years?

Yes

No

If yes, list the date(s)

Have you been convicted of any OTHER moving vehicle violations within the past 3 years?

Yes

No

If yes, list type(s) and date(s)

Have you ever been convicted of a felony?

Yes

No

If so, when?

Expected pay $

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Location: 3344 Pearl Road Medina, OH 44256

Service Area: Northeast Ohio

Phone: 330-725-2102

Email: office@lamphearlawn.com

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