LANDMARK GROUP - MAINTENANCE JOB APPLICATION
This is the form to submit a job application for a maintenance position with Landmark Group. If you have any questions, please contact Chris Young
at 402.553.8111.
It is the policy of Landmark Group to provide equal opportunities and fair treatment to all employees and job applicants in all personal and employment practices. We offer equal employment
opportunities to all persons without regard to race, color, religion, age, marital status, veteran's status, sex, national origin, disability or any other legally protected statues.
* We won't ask for your social security number with this application, but please note that we will need your SSN if you're further contacted about this position.
PERSONAL INFORMATION
Name *
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Previous Address
Main Phone *
Additional Numbers
Additional Numbers
Email *
If you are under the age of 18, can you provide proof of your eligibility to work? *
Yes
No
Are you prevented from lawfully becoming employed in this country because of VISA or Immigration Status? (Proof of eligibility will be required
for employment if necessary.) *
Yes
No
Position(s) applying for *
How soon can you report to work? *
Are you available for work *
Full time
Part time
Temporary
Shift Work
Choose any option that applies.
Expected Pay *
Desired Hours *
EDUCATION
Please enter your education history below.
HIGH SCHOOL ----------------- *
Address
Course of Study
Years completed *
Diploma/Degree *
COLLEGE -----------------
Address
Course of Study
Years completed
Diploma/Degree
Have you ever worked for us before? *
Yes
No
Have you ever been convicted of a crime except a minor traffic violation? *
Yes
No
If so, state citation, date, court and place where offense occurred.
Have you ever been discharged or requested to resign from a position? *
Yes
No
If yes, give circumstances.
EMPLOYMENT EXPERIENCE
Start with your present or most recent job. Including any job-related military service assignments and volunteer activities. You may exclude organizations which
indicate race, color, gender, national origin, disabilities or another protected status.
1) COMPANY NAME -------------- *
This will be your most current or present employer.
Address
From - To *
Enter dates with this employer.
Job Title *
Salary *
Name of Supervisor *
Phone *
Reason for leaving *
2) COMPANY NAME -------------- *
Address
From - To *
Enter dates with this employer.
Salary *
Job Title *
Name of Supervisor *
Phone *
Reason for leaving *
3) COMPANY NAME --------------
Address
From - To
Enter dates with this employer.
Salary
Job Title
Name of Supervisor
Phone
Reason for leaving
May we contact your present or most current employer? *
Yes
No
Please provide additional information such as special skills, training, management experience, equipment knowledge/operation or any
qualifications you feel will be helpful to us in considering your application.
COMMON SENSE QUIZ
Answer the questions below in the best way you see fit. Please be honest and truthful.
You're at an apartment complex working in unit #2 and the lady across the hall in unit #3 comes over and says her stove is on fire. What do you
do? *
You're working on the third floor of an apartment complex and there is a broken pipe. What do you do? *
If a tenant is complaining about a foundation leak, what are four probable causes? *
Your computer does not work. What do you do? *
A tenant's furnace does not work. What do you do? *
TOOLS REQUIRED FOR YOUR POSITION AT LANDMARK
Please select the tools you own.
Laborer *
Tool belt with two pouches
Tape measurer - 25 ft.
16 oz. hammer
20 oz. hammer
Pencil
Glove
Safety glasses
Pry bar
Four-in-one screwdriver
Jip knife
Hold down control to select multiple options.
Maintenance call, technician or carpenter/remodeler *
Skill saw
Planer
Caulk line
Reciprocating saw
12 volt cordless drill
Tool belt
Tape measurer
Speed square (miniature triangle shaped square)
Extension cords
16 oz. hammer
20 oz. hammer
Pry bar
7' step ladder
20' extension ladder
Hammer drill (electric preferred)
Palm sander
Electrical outlet tester
Pipe wrenches
Screw drivers (set of flathead and Phillips)
Open end wrenches (all sizes)
Concrete trowels
Table saw
Shovels
Drywall (one square)
Pipe cutter
Torch for mending pipes together
Hand saw
Chalk line
Mitre saw (electric)
Paint roller handles
Drill mounted power snake
Electric drain cleaner
Hold down control to select multiple options.
JOB APPLICANT'S AGREEMENT AND CERTIFICATION
I certify that the information given by me in this application is true in all respect, and I agree that if information is found to be false in any way, it shall be
considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify all questions asked concerning my ability, character,
reputation, and previous employment record. I release all such persons from any liability or damages on the account of having furnished such information.
As a condition of employment, I agree that all information which I may obtain or have access to in the course of my employment will be treated as confidential an not to be disclosed to any
unauthorized person either during or after my employment. In consideration of my employment, I agree to conform to the rules and regulations of my employer, which may be changed from time
to time. I agree that my employment can be terminated at any time, with or without cause, at the option of either the employer or myself. I further understand if I become employed, any
employee handbooks or policy statements should not be construed as an do not constitute an employment contract guaranteeing employment for any specific duration.
I agree to have Landmark Management Group run a criminal and credit check.
Signature *
PLEASE NOTE!! This will act as your signature on this form and will be regarded as so.
Today's Date *
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