Smart Scapes LLC APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer - All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. PERSONAL INFORMATION Incomplete information could disqualify you from further consideration. Please complete all fields.

EMPLOYMENT DESIRED

REFERRAL SOURCE

How did you hear about us? Walk In Advertisement Referral Other

EDUCATION

Name and location of school | No. of yrs. Attended Degree | Received Subjects |Studied/ Major

EMPLOYMENT HISTORY

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

From To Employer Name Telephone

Reason for Leaving

Reason for Leaving

Reason for Leaving

REFERENCES Give the names of three persons not related to you, whom you have known at least three (3) years.

Name | Address, Phone, Email | Company | Years Acquainted

Please read carefully before signing. Smart Scapes LLC an equal opportunity employer. Smart Scapes does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Smart Scapes to hire me. If I am hired, I understand that either Smart Scapes or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Smart Scapes has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Smart Scapes true and complete information on this application. No requested information has been concealed. I authorize Smart Scapes to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE.