Minchey's Landscaping & Design Center
Online Application

Email:
Name:   Phone:    Alt Phone: 
Address:
Previous Address if less than 6 months at present:
 
Date of Birth (mm/dd/yy):      Social Security No: 
VALID Tennessee Drivers License?  Yes  No
Drivers License No:    State: 
Have you been convicted of a Felony in the last five (5) years?  Yes  No
Have you been convicted for a Vehicle related offense?  Yes  No

References
Please submit three (3) references or persons with whom we may contact.
Name:

Years Known:
Address:

Phone:
       
Name:

Years Known:
Address:

Phone:
       
Name:

Years Known:
Address:

Phone:
       

Education
Please describe your educational and professional training background.  Begin with your most recent course or school.
College or University:

Address:

City:

   State:    Course or Major:
  Graduate:  Yes  No
High School Name or GED:

Address:

City:

   State:    Course or Major:
  Graduate:  Yes  No

Employment History
Begin with your present employer then your most recent employer.  Include any self-employed or unemployed periods.  You must account for the past three years or since completing school, whichever is the shorter period.  You may include work performed on a volunteer basis.
Company Name:
Address:
City:   State:    Zip: 
Phone:   Supervisor: 
Responsibilities:
Reasons for leaving (Be Specific):
 
May we contact your Supervisor:  Yes No 
Present / Previous Rate of Pay:    Hourly   Weekly   Per Annum
   
Company Name:
Address:
City:   State:    Zip: 
Phone:   Supervisor: 
Responsibilities:
Reasons for leaving (Be Specific):
 
May we contact your Supervisor:  Yes No 
Present / Previous Rate of Pay:    Hourly   Weekly   Per Annum
 
Company Name:
Address:
City:   State:    Zip: 
Phone:   Supervisor: 
Responsibilities:
Reasons for leaving (Be Specific):
 
May we contact your Supervisor:  Yes No 
Present / Previous Rate of Pay:    Hourly   Weekly   Per Annum
Have you ever been terminated or asked to resign, or left without notice from your job?  If yes, please explain the circumstances.
 
Please explain any gaps in your employment history: