Application – English | Epic Landscape Productions, LC.

Fields indicated with an asterisk (*) are required.

Date of Application:*

Referred By (if applicable):

Please consider me for any available position.

Position Applying For:*

Date Available to Start:*

Name:*

First Last

Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone:*

Home Phone:

E-mail

Are you legally eligible for employment in the United States?*

Yes
No

Should you be employed, you must complete a Form I-9 certifying that you are eligible to be employed, verifying your identity, and requiring you to provide documentation to that effect, as required by The Immigration Reform and Control Act (“IRCA”).

Are you currently employed?*

Yes
No

May we contact your present employer?*

Yes
No

Are you at least 18 years of age?*

Yes
No

Do you have a valid driver’s license?*

Yes
No

Do you have a commercial driver’s license (“CDL”)?*

Yes
No

Do you speak English?*

Yes
No

Do you speak Spanish?*

Yes
No

Have you ever worked for Epic Landscape Productions, L.C. (“Epic”)?*

Yes
No

Employment start date:*

If you do not remember the exact date, please estimate as best you can.

Employment end date:*

If you do not remember the exact date, please estimate as best you can.

Do any of your friends or relatives, other than spouse, work at Epic?*

Yes
No

Name(s):*

Are you available to work (check all that apply):*

Days
Evenings
Weekends

If you are unable to work on specific days or times, please indicate the days and times:*

Have you ever been convicted (found guilty, sentenced, or fined) of a law violation, either within or outside the U.S.A., since your 18th birthday?*

Yes
No

Provide the date(s), place(s), charge(s), court(s), and any fine(s) or sentence(s) imposed:*

DO NOT indicate “Will discuss”. A conviction will not necessarily result in denial of employment.

Landscaping Experience

Do you have landscape, irrigation, or lawn maintenance experience?*

Yes
No

Please explain and list for how long:*

Education and Training

Did you receive a high school diploma:*

Yes
No

Highest grade completed:*

Did you receive a college degree?*

Yes
No

List any other skills or training (i.e., construction, stone work, carpentry, computers etc.):

Work Experience

Please list current or last employer first, then any additional employers.

Employer 1:*

From:*

To:*

Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title:*

Ending Wage/Salary:*

Supervisor:

First Last

Phone:

E-mail:

Reason for Leaving:*

Add Employer 2

Employer 2:

From:

To:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title:

Ending Wage/Salary:

Supervisor:

First Last

Phone:

E-mail:

Reason for Leaving:

Add Employer 3

Employer 3:

From:

To:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title:

Ending Wage/Salary:

Supervisor:

First Last

Phone:

E-mail:

Reason for Leaving:

Add Employer 4

Employer 4:

From:

To:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title:

Ending Wage/Salary:

Supervisor:

First Last

Phone:

E-mail:

Reason for Leaving:

Signature

Agreement

My signature below certifies that I understand and agree to the following:

The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex, or national origin. Some states prohibit discrimination because of age. The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 65 years of age. If this state prohibits the request of any such information on this form, this information will not be used to discriminate against possible employment.

I hereby certify that all information in this application, any attachment, and related “new hire’ forms (collectively known as “Application”) is true and complete, and I understand that such information is subject to verification at any time. I authorize investigation of all statements contained in this Application, including, but not limited to, the procurement of my driving records, verification of employment history, reference checks, and/or the procurement or verification of any additional reports about me from time to time to comply with U.S. Department of Transportation requirements, evaluate my insurability, or for other permissible purposes under the Fair Credit Reporting Act and other applicable laws and regulations.

In the event of employment:

1. I understand that misrepresentation or omission of any fact called for is cause for dismissal regardless of time of discovery.

2. I understand that Epic participates in the E-Verify Program and as such will provide the Social Security Administration, and if necessary, the Department of Homeland Security, with information from my I-9 Form to confirm my work authorization.

3. I understand and agree that my employment is for no definite period and is of an “at will” nature and may, regardless of date of payment of wages, salary, commissions, bonuses, etc., be terminated at any time without previous notice, with or without cause.

4. I also understand and agree that neither this document nor any offer of employment from the employer constitute an employment contract unless a specific written document to that effect is executed by an authorized executive of the employer and the employee.

5. I understand and agree that I am required to abide by all rules, policies, and regulations of the employer.

6. I further understand that only persons who have a legitimate business reason in the course and conduct of the employer’s business will have access to my I-9 information and or Social Security number, including, but not limited to, Epic clients, contractors, subcontractors, vendors, and government agencies. Such access will be granted through the Human Resources Department.  Any individual or entity granted such access shall take all necessary precautions at all times to ensure the integrity of records that include such numbers and confidential information.

7. I hereby consent to employer withholding wages or remuneration from my paycheck to (a) obtain repayment of any loan(s) or advance(s), (b) recover any payroll overpayment, and/or (c) recoup costs associated with unpaid merchandise or uniforms purchased by me.

8. I hereby consent to employer withholding wages from my final paycheck to (a) recover property provided to me that I have not returned (including, but not limited to cell phones and equipment), (b) obtain repayments of any loan(s) or advance(s), (c) recover payroll overpayment, and/or (d) recoup the cost or unpaid balance of merchandise, uniforms, or equipment purchased by me. Furthermore upon termination, I agree to return any and all Confidential employer information.

I agree that my electronic signature is the legal equivalent of my manual signature on this application.

Thank you for your interest in Epic Landscape Productions, L.C. (“EPIC”). We at Epic want to make it very clear, so that there are no surprises and so that everyone is fully informed, that EPIC does not pay overtime to its Landscape Laborers or Foremen and that EPIC does not pay overtime to its Lawn Maintenance Laborers or Foremen. Without going into detail, the reason is straight-forward: EPIC is subject to the U.S. Department of Transportation (“DOT”) Secretary’s regulations since Epic is considered to be a private motor carrier involved in interstate commerce using vehicles that equal or exceed the threshold weight limits (“CMVs”) in the normal course of its landscape and lawn maintenance business. As such, the DOT’s rule making authority extends over Epic’s business operations and supersedes the authority of the Department of Labor (“DOL”) Secretary for those Epic laborers and foremen involved in the safety sensitive functions of Epic’s interstate operations as a private motor carrier operating CMVs as defined under the applicable DOT law and regulations. The DOT rules, rather than DOL rules, govern how Epic pays its landscape and lawn maintenance laborers and foremen involved in these safety sensitive functions and does not require overtime compensation. Much more may be said, but this is a brief summary.

Epic works hard and commits many resources to comply with federal, state, and local laws regarding regulatory compliance, including DOT and DOL, and to operate the business with integrity.

If you have any questions regarding this Notice, please ask. You may contact Epic’s human resources department.

My signature below certifies that I understand and agree to the following:

The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex, or national origin. Some states prohibit discrimination because of age. The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 65 years of age. If this state prohibits the request of any such information on this form, this information will not be used to discriminate against possible employment.

I hereby certify that all information in this application, any attachment, and related “new hire’ forms (collectively known as “Application”) is true and complete, and I understand that such information is subject to verification at any time. I authorize investigation of all statements contained in this Application, including, but not limited to, the procurement of my driving records, verification of employment history, reference checks, and/or the procurement or verification of any additional reports about me from time to time to comply with U.S. Department of Transportation requirements, evaluate my insurability, or for other permissible purposes under the Fair Credit Reporting Act and other applicable laws and regulations.

In the event of employment:

1. I understand that misrepresentation or omission of any fact called for is cause for dismissal regardless of time of discovery. 2. I understand that Epic participates in the E-Verify Program and as such will provide the Social Security Administration, and if necessary, the Department of Homeland Security, with information from my I-9 Form to confirm my work authorization. 3. I understand and agree that my employment is for no definite period and is of an “at will” nature and may, regardless of date of payment of wages, salary, commissions, bonuses, etc., be terminated at any time without previous notice, with or without cause. 4. I also understand and agree that neither this document nor any offer of employment from the employer constitute an employment contract unless a specific written document to that effect is executed by an authorized executive of the employer and the employee. 5. I understand and agree that I am required to abide by all rules, policies, and regulations of the employer. 6. I further understand that only persons who have a legitimate business reason in the course and conduct of the employer’s business will have access to my I-9 information and or Social Security number, including, but not limited to, Epic clients, contractors, subcontractors, vendors, and government agencies. Such access will be granted through the Human Resources Department. Any individual or entity granted such access shall take all necessary precautions at all times to ensure the integrity of records that include such numbers and confidential information. 7. I hereby consent to employer withholding wages or remuneration from my paycheck to (a) obtain repayment of any loan(s) or advance(s), (b) recover any payroll overpayment, and/or (c) recoup costs associated with unpaid merchandise or uniforms purchased by me. 8. I hereby consent to employer withholding wages from my final paycheck to (a) recover property provided to me that I have not returned (including, but not limited to cell phones and equipment), (b) obtain repayments of any loan(s) or advance(s), (c) recover payroll overpayment, and/or (d) recoup the cost or unpaid balance of merchandise, uniforms, or equipment purchased by me. Furthermore upon termination, I agree to return any and all Confidential employer information.

I agree that my electronic signature is the legal equivalent of my manual signature on this application.

Thank you for your interest in Epic Landscape Productions, L.C. (“EPIC”). We at Epic want to make it very clear, so that there are no surprises and so that everyone is fully informed, that EPIC does not pay overtime to its Landscape Laborers or Foremen and that EPIC does not pay overtime to its Lawn Maintenance Laborers or Foremen. Without going into detail, the reason is straight-forward: EPIC is subject to the U.S. Department of Transportation (“DOT”) Secretary’s regulations since Epic is considered to be a private motor carrier involved in interstate commerce using vehicles that equal or exceed the threshold weight limits (“CMVs”) in the normal course of its landscape and lawn maintenance business. As such, the DOT’s rule making authority extends over Epic’s business operations and supersedes the authority of the Department of Labor (“DOL”) Secretary for those Epic laborers and foremen involved in the safety sensitive functions of Epic’s interstate operations as a private motor carrier operating CMVs as defined under the applicable DOT law and regulations. The DOT rules, rather than DOL rules, govern how Epic pays its landscape and lawn maintenance laborers and foremen involved in these safety sensitive functions and does not require overtime compensation. Much more may be said, but this is a brief summary.

Epic works hard and commits many resources to comply with federal, state, and local laws regarding regulatory compliance, including DOT and DOL, and to operate the business with integrity.

If you have any questions regarding this Notice, please ask. You may contact Epic’s human resources department.

Applicant signature:*

Please sign using your mouse or finger.

Date:*

Employment Application - English

Landscaping Experience

Education and Training

Work Experience

Signature