Employment Application

Fill out the required information below and click submit. You will receive a call for an interview if your qualifications meet the requirements of the position you are applying for.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What position are you applying for?

What days are you available to work?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What hours are you available to work?

Do you expect your availability to change in the next 90 days?

What is the earliest date you could start?

Desired Salary

Have you ever worked for this company?

If yes, when?

Do you have a driver's license?

Do you have your own transportation?

Are you able to perform the specific duties of this position?

What questions do you have about our company?

Education

Where did you go to High School?

High School Address

Dates you attended High School

Did you graduate?

Yes

Diploma Received

What college did you attend?

College Address

Dates you attended College

Did you graduate?

Yes

Diploma Received

Other Education

Address

Dates you attended

Did you graduate?

Yes

Diploma Received

Military Service

Branch

Dates Served

Rank at Discharge

Previous Employment

Please provide your previous employment experience.

Most Recent Company

Phone

(###)

###

####

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates you worked from

Reason for leaving

May we contact your previous supervisor for a reference?

Yes

Second Company

Phone

(###)

###

####

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

Dates you worked from

Reason for leaving

May we contact your previous supervisor for a reference?

Yes

Third Company

Phone

(###)

###

####

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Dates you worked from

Reason for leaving

May we contact your previous supervisor for a reference?

Yes

Job Related Skills

If the job you are applying for requires you to drive, do you have the appropriate valid driver's license?

Yes

Driver's License Number

Type

State

References

Please list three professional references.

Full Name

Relationship

Company

Phone:

(###)

###

####

Address

Full Name

Relationship

Company

Phone

(###)

###

####

Address

Full Name

Relationship

Company

Phone

(###)

###

####

Address

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Date

YYYY

APPLICANT NOTE

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. This application applies only to the position specified. It is considered inactive after 90 days. Should your qualifications meet our needs, we will contact you for an interview. Please no phone calls.

EEO STATEMENT

We are an Equal Opportunity Employer and do not discriminate in our hiring or employment practices. All qualified applicants will receive consideration without regard to race, color, creed, religion, national origin, age, disability, sex, or any other characteristic protected by State or Federal law.

Thank you for your interest in working with Lynde Greenhouse & Nursery.

You will receive a call for an interview if your qualifications meet the requirements of the position you are applying for. Please No Phone Calls.

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