Phil Rhodes - Enviroscapes

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Name*

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Date of Birth*

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Address*

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What position are you interested in?

How did you hear about Enviroscapes?

Pay Requirements*

Hourly
Salary

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Annual Salary

Which location(s) would you like to work at? (check all that apply)*

Akron
Austintown
Boardman
Canton
Columbus
Louisville

Preferred working status (check all that apply)*

Full Time
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If other, please describe*

Current or most recent employer

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Employed from

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Position

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Did you work anywhere else before the job above?

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Previous Employer 2

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Employed from

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Position

Reason for leaving

Did you work anywhere else before the job above?

Yes
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Previous Employer 3

Employer name*

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Employed from

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Position

Reason for leaving

Did you work anywhere else before the job above?

Yes
No

Previous Employer 4

Employer name*

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Employed from

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Position

Reason for leaving

If the position for which you are applying requires operating a motor vehicle, do you possess a valid, current drivers license?*

Yes
No

Are you a United States citizen?*

Yes
No

Are you legally authorized to work in the United States of America?*

Yes
No

Is there an expiration date to your work authorization?*

Yes
No

What is the expiration date?*

Is there any additional information that you would like to share about yourself?

Conditions

As an EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER, Enviroscapes does not discriminate against applicants or employees because of their age, race, color, religion, national origin, sex, medical or mental condition or on any other basis prohibited by law, provided the applicant is qualified and meets the requirements established by Enviroscapes for the job. We practice pre-employment random drug testing and thorough criminal background checks. As an employment AT WILL EMPLOYER, the employee or employer may terminate employment at any time and for any reason, and without notice.

Disclosure under Fair Credit Reporting Act and Consent to Procurement of Motor Vehicle Report for Employment Purposes

The undersigned hereby authorizes Todd's Enviroscapes Inc or its insurance agency AssuredPartners of Ohio LLC, or its assigns, to obtain copies of Motor Vehicle Reports, which may be classified as a consumer report, pertaining to me for employment purposes and for use in rating and/or underwriting insurance for which the above-named employer may apply and any renewal thereof. I understand that in obtaining such consumer reports, a consumer reporting agency may be used, and I do hereby authorize such use.

Authorization and Release

By completing the E-signature and date fields at the end of this application, I hereby certify that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I understand and agree that any misrepresentation or omission of facts in my application may be justification for refusal to hire, or termination of employment. I have been requested to provide information for the purpose of reviewing my qualifications background. Therefore, I authorize Todd’s Enviroscapes, Inc. to investigate my past and present records as well as reference information both private and public. I release from liability or damages, any person, company or organization providing actual information about my qualifications and related characteristics to Enviroscapes. I also authorize the release of such records and information to and from the company and do release all persons, agencies, firms, companies, etc., from any liability or damages resulting from the investigation, collection and/or release of such records and information. This authorization is valid 90 days from the date of my e-signature.

AGREE TO APPLICATION TERMS AND CONDITIONS*

I have read and agree to the disclaimer above.

E-Signature

E-Signature (print name here)*

Date*