• Contact Information

  • Availability to Work

  • Low to high: $____ per hour to $____ per hour
  • On a daily basis, write in the earliest possible time you are available to report for work and the latest you could remain at work until finished. If any day is no good, write “none” in the box for that day. Schedule changes and overtime are mandatory. (DO NOT COMPLETE if you selected "I'll work any hours" above.)
  • Include starting time and ending time
  • Include starting time and ending time
  • Include starting time and ending time
  • Include starting time and ending time
  • Include starting time and ending time
  • Include starting time and ending time
  • Include starting time and ending time
  • East Coast Green maintains a large customer base covering a large geographic area. Some work requires you to travel and stay at these jobs for periods ranging from days to months.
  • Workplace Notices

    Read each workplace notice then acknowledge your understanding.
  • References

    List the Name, Address, and Telephone Number of three (3) references who are not relatives, current or former employers. By listing references, you give us permission to contact these references and ask questions about your experience, background, and other factors we believe are essential to the position.
  • Name of person you know who works for East Coast Green
  • Education

  • Name & location of school Course of study # of years completed Did you graduate? (Yes or no) Degree or diploma received
  • Military

  • Background

  • If hired, proof of eligibility will be required.
  • NOTE: A conviction record will not necessarily disqualify you from consideration for employment.
  • Employment History

    List the last three employers you had, beginning with the most recent.
  • Additional Information


    Employment decisions are made without regard to race, color, religion, gender, sexual orientation, sexual preference, national origin, citizenship, age or disability. Only candidates meeting our experience requirements will be contacted for further consideration.

    I submit this application freely and willingly as a gesture of my interest in employment. I declare the information I provided herein is true, complete and represents an accurate statement of facts. If hired, I agree to abide by all policies and rules whether written, verbal or otherwise during my course of employment. If selected, I will be employed on an “at will” basis and either I or my employer will have the right to end our employment relationship at any time with or without notice or for any or no reason whatsoever. I understand any offer of employment or continued employment is not guaranteed for any length of time. I authorize an investigation of all statements contained in this application now and during the course of my employment. I understand that any misrepresentation or omission of facts is cause for dismissal at any time without any previous notice. Any corrections I wish to make to the information included herein must be submitted in writing. I hereby give East Coast Green, Inc. or their assigns full permission to contact schools, all previous employers (unless otherwise indicated), references and others and hereby release the employer from any liability as a result of such contact or references on my behalf.
  • Type your name as your signature.
  • MM slash DD slash YYYY