14505 Grover Street, Suite 113
Omaha, NE 68144

(402) 334-2625







Thank you for your interest in Nature’s Helper Sprinkler Systems

For consideration for employment, please fill out and submit the online application below. Your information will be held in the strictest confidence. If selected for an interview, you will be notified either via email or phone call.

*Required Fields

PERSONAL INFORMATION


First and Last Name*:

Current Address*:

City*: ST*: ZIP*:

Phone Number*:  Cell Home Other

Email*:



EMPLOYMENT DESIRED


Position:

Date you can start:

Desired Wage:



GENERAL INFORMATION


Education

Name & Location Years
attended
Graduate? Area of Study
High School
Trade School
Other


Special Training:

Special Skills (include additional languages):

Military Service (list branch and years):

Rank:

Have you ever been convicted of a crime? Yes No 

If yes, please explain the number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed and type(s) of rehabilitation.



FORMER EMPLOYERS


(List last four employers, starting with current or last one first)

Dates Name & Address Wages Position Reason for Leaving


References

(Please provide the names and contact information of three persons unrelated to you, whom you have known for at least one year.)

Name Address/Phone Company Years
Known

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

 

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.”

 
AUTHORIZATION: By submitting this form with this box checked, you agree to the above statements.