Application for Employment

Position Applying For:*
- Laborer
- Driver/CDL
- Operator
- Foreman
Contact Information
Name*
First Last
Phone*
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State ZIP Code
Availability to Work
Are you currently employed?*
- Yes
- No
On what date are you available to start work?*
Please explain your desired starting wage range?*
Low to high: $____ per hour to $____ per hour
Select one of the options below to explain your availability to work:*
- I’ll work any hours; any time (do not fill out section below)
- I can ONLY work WITHIN the times below
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.)
Monday Availability
Include starting time and ending time
Tuesday Availability
Include starting time and ending time
Wednesday Availability
Include starting time and ending time
Thursday Availability
Include starting time and ending time
Friday Availability
Include starting time and ending time
Saturday Availability
Include starting time and ending time
Sunday Availability
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.
Are you available to travel to jobs for day(s)?*
- Yes
- No
Are you available to travel to jobs for week(s)?*
- Yes
- No
Are you available to travel to jobs for month(s)?*
- Yes
- No
Workplace Notices
Read each workplace notice then acknowledge your understanding.
Shifts can be from 8 to 12 or more hours depending on the location and type of work being done at the job site. It is common for overtime to be required. Overtime is paid after 40 hours in one week. Consider personal time, obligations for travel and work shifts before applying.*
- I understand.
- I do not understand.
Physically demanding and repetitive work is performed outdoors in the elements without exception during all seasons. It is highly unlikely work would be cancelled or delayed for weather related reasons. Always report to work unless supervisor says otherwise. Always be dressed appropriately for safety, elements and environment.*
- I understand.
- I do not understand.
The Company has a ZERO TOLERANCE drug free workplace. Employees are subject to drug testing for any or no reason once employment is accepted. Failure to produce samples or negative test will result in immediate dismissal.*
- I understand.
- I do not understand.
All new hires MUST provide a current negative drug test.*
- I understand.
- I do not understand.
All new hires MUST provide current security clearances; including Criminal Record Check, Child Abuse Clearance and FBI Federal Criminal History Record (fingerprinting).*
- I understand.
- I do not understand.
All new hires with a valid driver’s license MUST provide a current Medical Card.*
- I understand.
- I do not understand.
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 Reference 1*
First Last
Relationship to You*
Phone*
Email
Name of Reference 2*
First Last
Relationship to You*
Phone*
Email
Name of Reference 3*
First Last
Relationship to You*
Phone*
Email
Do you know anyone who works for East Coast Green?*
- Yes
- No
If yes, who?
Name of person you know who works for East Coast Green
Education
Select all you attended*
For all schools selected above, provide the following details:*
Name & location of school Course of study # of years completed Did you graduate? (Yes or no) Degree or diploma received
Military
Did you serve in the U. S. Armed Forces?*
- Yes
- No
If yes, in what Branch?
Describe any training received relevant to the position for which you are applying.
Background
List the landscaping or commercial construction equipment machines you operated where you have the MOST experience:*
Are you authorized to work in the United States?*
If hired, proof of eligibility will be required.
- Yes
- No
In the last five (5) years have you pled guilty, no contest, or been convicted of a crime?*
- Yes
- No
If the above answer is “yes”, would your offense or conviction(s) affect the ability to perform the position for which you are applying?
- Yes
- No
- Unsure
- Does Not Apply
If yes for either answer, list date(s) of conviction(s), nature of offense(s) and sentence(s) imposed.
NOTE: A conviction record will not necessarily disqualify you from consideration for employment.
Have you ever plowed snow? Provide details:*
Do you have an active Pennsylvania or out of state Driver’s License?*
- Yes
- No
How many accidents have you had during the past three years?*
How many moving violations have you had during the past three years?*
Do you have any travel restrictions?*
- Yes
- No
If yes, please explain:
Do you have a Commercial Driver’s License (CDL)?*
- Yes
- No
If yes, what endorsements do you have and how many years experience?
Without CDL, have you driven a truck?*
- Yes
- No
If yes, what kind(s)? And do you drive standard transmission?
Employment History
List the last three employers you had, beginning with the most recent.
Employer Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Your Position*
Last salary or hourly rate
Supervisor's Name*
First Last
Start and Finish Date*
May we contact this company?*
- Yes
- No
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.*
Reason You Left*
Employer Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Your Position*
Last salary or hourly rate
Supervisor's Name*
First Last
Start and Finish Date*
May we contact this company?*
- Yes
- No
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.*
Reason You Left*
Employer Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Your Position*
Last salary or hourly rate
Supervisor's Name*
First Last
Start and Finish Date*
May we contact this company?*
- Yes
- No
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.*
Reason You Left*
Additional Information
Emergency Contact*
First Last
Phone*
Relationship to You*
Briefly explain why you want to work for our company and what your long term goals will be in our company.*
Please provide any additional information you may feel is relevant to your employment application.
EAST COAST GREEN, INC. IS AN EQUAL OPPORTUNITY EMPLOYER

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.
APPLICATION ACKNOWLEDGMENT

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.
Your Signature*
Type your name as your signature.
Date of Signing*
MM slash DD slash YYYY

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Contact Information

Availability to Work

Workplace Notices

References

Education

Military

Background

Employment History

Additional Information