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Job Application Information

Job Position Desired? (Check Multiple If Applicable) *

• Nursery Sales Associate
• Department Manager Trainee
• Nursery Maintenance
• Customer Service/Carry Out
• Patio Sales Associate
• Garden Shop Sales Associate
• Delivery Driver
• Cashier

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 (1/3)

Employer Phone (1/3)

Employer Email (1/3)

Job title (1/3)

Job experience (1/3)

Start date (1/3)

Last date worked (1/3)

Reason for leaving (1/3)

Work Experience - Employer #2

Previous Employer/Company (2/3)

Employer Phone (2/3)

Employer Email (2/3)

Job title (2/3)

Job experience (2/3)

Start date (2/3)

Last date worked (2/3)

Reason for leaving (2/3)

Work Experience - Employer #3

Previous Employer/Company (3/3)

Employer Phone (3/3)

Employer Email (3/3)

Job title (3/3)

Job experience (3/3)

Start date (3/3)

Last date worked (3/3)

Reason for leaving (3/3)

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

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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