APPLICATION
FOR EMPLOYMENT
by Greener Grass Systems, Inc. & Green Oasis Lighting, Inc.
(formerly known as Greener Grass Systems, Inc. & The Greenskeepers)
An Equal Opportunity Employer
Name: ________________________________________________________________________
Date: _________________________________________________________________________
How did you hear about this job opportunity? ____________________________________
FOR OFFICE USE ONLY:




Office staff reviewed.
Position applied for: ____________________________________________________
For Manager’s review. Assigned to ______________________________________
Application declined.
Reason:_________________________________________________________________
PERSONAL DATA:
NAME
Last Name
First Name
M
ADDRESS:
Street
PHONE:
(
)
City
-
(
)
-
Daytime Phone
DRIVER’S LICENSE:
-
-
Alternate Phone
Zip
-
Social Security Number
-
License Number
Are you a U.S. Citizen?
State
Class
 Yes
Are you over 18 years of age?
 No
 Yes
Endorsements
If not, do you have a registration card or valid U.S.
work permit?  Yes  No
 No
JOB INFORMATION:
Applying for:
 Full Time
 Part Time
 Seasonal
Have you ever worked for Greener Grass Systems, Inc?  Yes  No
If yes, When_______________ Where______________ Position_____________________________
Are you wiling to travel for out of town jobs?
Position Preferred:






 Yes
 No
Sprinkler System Installation/Laborer
Lawn Fertilization Applicator
Lawn Maintenance, Machine Operator
Landscape Laborer
Retail/ Greenhouse Staff
Other _______________________________________________
Rate of pay acceptable: ____________________________Date available: __________________________
MEDICAL INFORMATION:
Greener Grass Systems, Inc. & Green Oasis Lighting, Inc. requires that each employee be physically qualified to
perform the tasks required by the job. As a condition of employment each employee may be required to take a
physical examination as necessary for the safety and welfare of the employee or fellow employees.
Greener Grass Systems, Inc. & Green Oasis Lighting, Inc. requires that each employee is free from the effects of
drugs or alcohol while performing the task required by the job. As a condition of employment, each employee may be
required to take a drug-screening test at the time of employment, or at any other time at the discretion of the
company. Each applicant must also answer and agree to the following.
I have taken the following prescription or non-prescription drugs in the past 30 days:
______________________________________________________________________________________________________
I hereby consent to a pre-employment drug and alcohol-screening test, and certify that, to the best of my knowledge,
the foregoing answers are complete and correct. I understand and agree that any omission of this record may be
cause for the disqualification of my application, or termination. Furthermore, if employed, I hereby authorize Greener
Grass Systems Inc. & Green Oasis Lighting, Inc. to require me to take drug and alcohol screening tests in
accordance with current company policy covering drug and alcohol abuse. I understand that my refusal to take
drug-screening tests as required by the current company policy shall result in my immediate discharge.
Signature
Date
EDUCATION:
School & Location
Years
Did you graduate?
High School
Yes No
College/Post
College
Technical/
Trade
Yes No
Business
Yes No
Yes No
FORMER EMPLOYERS:
From
Subjects studied/Degrees Received
(List your last four Employers, starting with the most recent)
To
Supervisor & Title
Employer
Address
Job Title
Street
Phone
City
Hourly Rate
State
Zip
Reason for Leaving
Nature of Work and Responsibilities
From
Supervisor & Title
To
Employer
Address
Job Title
Nature of Work and Responsibilities
Street
Hourly Rate
Phone
City
State
R eason for Leaving
Zip
From
To
Supervisor & Title
Employer
Address
Job Title
Street
Phone
City
State
Hourly Rate
Zip
R eason for Leaving
Nature of Work and Responsibilities
From
Supervisor & Title
To
Employer
Address
Job Title
Street
Phone
City
State
Hourly Rate
Zip
Reason for Leaving
Nature of Work and Responsibilities
REFERENCES:
Name
(Name three persons whom you have known at least one year. Do not list relatives.)
Address
Business
Phone
(
)
-
(
)
-
(
)
-
Years known
I hereby authorize Greener Grass Systems, Inc. to contact former employers and references as listed to
verify this information and generally discuss my qualifications.
Signature
Date
QUESTIONS:
What are the special skills, knowledge or abilities that qualify you for the position in which you are
applying? How will you seek to improve upon them if/should you work here?
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
What specific type of equipment are you experienced with?
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Greener Grass Systems takes pride in meeting and exceeding expectations for our customers. Have you
ever had the opportunity to meet or exceed someone’s expectations? Describe a specific situation where
you have provided an excellent customer experience in the past. Why was this method so effective?
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Greener Grass Systems takes pride in our progressive attitude and our efforts to collectively work and
grow together with our team members. How would others describe your attitude at work? Describe how
you could be a solid team player and an asset to our organization.
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
What did you like and what would you change about your previous supervisor’s management style?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
List any hobbies, interests, sports, organizations, etc. that you are involved in. How do these impact your
quality of life?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Are there any restrictions on the hours you are available to work?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
What would you like to be doing 3 years from now?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Why would you like to work for Greener Grass Systems, Inc and in the Green Industry?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
What was the funniest situation you have experienced in your former workplace?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Define what the word “commitment” means to you?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
How would you describe a team environment in the workplace?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
How would you address a conflict with a customer or coworker who is clearly in the wrong?
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
In completing and submitting this application, I understand and agree, that any misstatement of fact shall
be sufficient reason for immediate withdrawal of this application or, in the event of employment, be cause
for termination. That my previous employers may be asked for information concerning my employment,
character, ability and experience. That no question on this application has been answered in such a
manner as to disclose my sex, race, color, religion, or national origin. That if employed, I may be required
to furnish proof of age by birth certificate or baptismal certificate. I agree to abide by all
rules/regulations set forth my Greener Grass Systems, Inc. That Greener Grass Systems, Inc. shall be
entitled to receive records concerning injury or illness from attending physicians, or practitioner. I also
consent to the release of information regarding my driving record from the proper authorities.
Signature
Date
AFFIRMATIVE ACTION QUESTIONAIRRE
Name_______________________________________
Do you have any disabilities?
 Yes
Date_________________________
 No
If yes, please explain:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
______________________________________________________
Have you ever served in the U.S. Armed Forces?
 Yes
 No
If yes, Branch______________________________________________________________________________
Rank Attained_________________________________From__________________To____________________
Honors or Awards __________________________________________________________________________
Special Training ____________________________________________________________________________