Application for Employment


 

Personal Information

First Name    
   
Last Name

Street Address

City

State         Zip Code

Phone Number   

Alt. Phone Number 

If Under 18, Please List Age:

Do you have a driver's license? Yes    No
If not, do you have reliable transportation? Yes    No

Work & Education Experience Please leave blank if not applicable

Are You Currently Employed? Yes    No

Company

Job Title/Duties Performed
 

Employment Dates:
Started (month/year) Ended (month/year)

Salary (per hour)

Reason for Leaving (if applicable)
   If other, please specify:

 

Company 2

Job Title/Duties Performed
 

Employment Dates:
Started (month/year) Ended (month/year)

Salary (per hour)

Reason for Leaving (if applicable)
   If other, please specify:

Education Experience:
Still Attending High School         High School Diploma        Some College Completed       
College Degree      Other, Please Specify 

 

Job Information Position For Which You Are Applying (Please check all that apply):
Nursery Yard Worker        Cashier            Plant Maintenance Worker  

Employment Desired:
Full-Time Hours    Part-Time Hours   Full or Part-Time Hours

Salary Desired:

When are you available to start?
  If Other, Please Specify

If applying for Plant Maintenance or Nursery Worker Positions:

Can you lift more than 50lbs? Yes    No

Can you work outdoors for extended periods of time?  Yes    No

If applying for Cashier Position:

Keyboard Skill Level:

Do you feel comfortable using computers?  Yes   Most of the Time    No

Do you have any knowledge of or experience with plants? (Not necessary for any position)
Yes    No
 If yes, please choose one of the following:

If necessary, please use the following to tell us any other important information about yourself
(i.e. experience, strengths, hours not available, etc):