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Job Application Information

Job Position Desired? (Check Multiple If Applicable) *

• Cashier
• Car Loader
• Plant Maintenance
• Garden Shop (Nursery Hard Goods)
• Patio Department
• Nursery Professional
• Landscape Designer

Full-time/Part-time? *

• Full-time
• Part-time
• Either works for me

Wages Expected

Do you have any physical conditions which may limit your ability to perform the job(s) applied for?

Availability - What days are you available to work? *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday**
• Sunday**

Are you available to work on weekends? *

• Yes
• No

Work Experience - Employer #1

Previous Employer/Company (1/4)

Employer Phone (1/4)

Employer Email (1/4)

Job title (1/4)

Job experience (1/4)

Start date (1/4)

Last date worked (1/4)

Reason for leaving (1/4)

Work Experience - Employer #2

Previous Employer/Company (2/4)

Employer Phone (2/4)

Employer Email (2/4)

Job title (2/4)

Job experience (2/4)

Start date (2/4)

Last date worked (2/4)

Reason for leaving (2/4)

Work Experience - Employer #3

Previous Employer/Company (3/4)

Employer Phone (3/4)

Employer Email (3/4)

Job title (3/4)

Job experience (3/4)

Start date (3/4)

Last date worked (3/4)

Reason for leaving (3/4)

Work Experience - Employer #4

Previous Employer/Company (4/4)

Employer Phone (4/4)

Employer Email (4/4)

Job title (4/4)

Job experience (4/4)

Start date (4/4)

Last date worked (4/4)

Reason for leaving (4/4)

Reference #1 (other than immediate family)

Name

First

Last

Phone

Relationship

Reference #2 (other than immediate family)

Name

First

Last

Phone

Relationship

Reference #3 (other than immediate family)

Name

First

Last

Phone

Relationship

Reference #4 (other than immediate family)

Name

First

Last

Phone

Relationship

Reference #5 (other than immediate family)

Name

First

Last

Phone

Relationship

Education

High School graduate?

• Yes
• No

Name of High School(s)?

College graduate?

• Yes
• No

Name of College(s)? Focus of study/major?

Other? (certifications, other related experience, etc.)

Additional Info/remarks

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