Employment Application

On-Line Application for Employment

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, or national origin.

Please fill in all of the applicable  fields below, and then click "Submit" to send us your application.  Use "Tab" key to move from field to field.  We will promptly review your qualifications and contact you if we have a suitable position available.

PERSONAL INFORMATION

Social Security Number (use hyphens):

Name (include middle name and any suffixes):

E-mail address:

Present Address:
    Street (line 1):
    Street (line 2):
    City:
    State:   Other (if non-U.S.):
    Zip/Postal Code:
    Phone number--home (include area code):
    Phone number -- cell (include area code):

Permanent Address:       Check here if same as present address
    Street (line 1):
    Street (line 2):
    City:
    State:   Other (if non-U.S.):
    Zip/postal code:
    Phone number (include area code):

Referred by (newspaper ad, web site announcement, employee's name, etc.):

If you are under 18 years of age, can you provide required proof of your eligibility to work?
    Yes    No

Do you have a currently valid driver's license?  Yes    No
(Driver's license is required for landscaping positions, but not for other positions.  You will be asked to show your driver's license at the time of interview and employment if you are applying for a landscaping position.)

How will you be getting to work each day?
            Driving self with own car
            Bicycle or walk
            Public transportation
            Will be dropped off or share a ride
            Other (specify):

EMPLOYMENT DESIRED

Position(s):      Landscape crew worker
                     Landscape crew foreman (prior landscape installation experience required)
                     Garden center cashier/sales assistant
                     Grounds maintenance
                     Other (specify below)

Specific job title applying for (if announced):

Date you can start work:

Hourly wage desired: $/hour

Availability:        Permanent
                       Temporary (if checked, indicate dates available): 
                            -

                       Full Time (40 hours per week)
                       Part Time (if checked, indicate how many hours per week you would like to work):

                   Days available:
                       Monday
                       Tuesday
                       Wednesday
                       Thursday
                       Friday
                       Saturday
                       Sunday
                    Times of day available:
                          
Are you employed now?    Yes    No
If so, may we inquire of your present employer?    Yes    No
Are you currently laid off from another job and subject to being recalled?   Yes    No

Have you ever applied to Gledhill Nursery before?    Yes    No
If so, when?


EDUCATION

Grammar School (list most recent school if more than one)

    Name of school
    Location of school:
        City:
        State:     Other (if non-U.S.):

High School

    Name of school
    Location of school:
        City:
        State:     Other (if non-U.S.):
    Last year completed: 1    2    3    4
    Did you graduate?    Yes    No
    Check here if still attending this school:  (must still answer yes or no above)

College

    Name of school
    Location of school:
        City:
        State:     Other (if non-U.S.):
    Last year completed: 1    2    3    4    5
    Did you graduate?    Yes    No
    Check here if still attending this school:  (must still answer yes or no above)
    Course of study:
    Degree(s) received:

Trade, Business, Correspondence, or Graduate School

    Name of school
    Location of school:
        City:
        State:     Other (if non-U.S.):
    Last year completed: 1    2    3    4    5+
    Did you graduate?    Yes    No
    Check here if still attending this school:  (must still answer yes or no above)
    Course of study:
    Degree(s) received:

Subjects of special study or research work:
   

Activities other than religious (civic, athletic, etc.).  (Exclude organizations, the name or character of which indicates the race, age, sex, color, or national origin of its members.)
   

FORMER EMPLOYERS (list last 4 employers, starting with most recent):

    Employer #1 (most recent)

        Company name:
        Company location: 
            City:
            State:     Other (if non-U.S.):
        Supervisor or company owner:
            Name:
            Present phone number (include area code):
            E-mail address (if known):
        Start date (month and year):
        Ending date (month and year):
        Wage/salary: $    per    hour    year
        Position:
        Work performed:
           
        Reason for leaving:

    Employer #2

        Company name:
        Company location: 
            City:
            State:     Other (if non-U.S.):
        Supervisor or company owner:
            Name:
            E-mail address (if known):
            Present phone number (include area code):
        Start date (month and year):
        Ending date (month and year):
        Wage/salary: $    per    hour    year
        Position:
        Work performed:
           
        Reason for leaving:

    Employer #3

        Company name:
        Company location: 
            City:
            State:     Other (if non-U.S.):
        Supervisor or company owner:
            Name:
            Present phone number (include area code):
            E-mail address (if known):
        Start date (month and year):
        Ending date (month and year):
        Wage/salary: $    per    hour    year
        Position:
        Work performed:
           
        Reason for leaving:

    Employer #4

        Company name:
        Company location: 
            City:
            State:     Other (if non-U.S.):
        Supervisor or company owner:
            Name:
            Present phone number (include area code):
            E-mail address (if known):
        Start date (month and year):
        Ending date (month and year):
        Wage/salary: $    per    hour    year
        Position:
        Work performed:
           
        Reason for leaving:

    Explain any gaps in the above employment dates:
           


REFERENCES (provide the names of 3 people not related to you, whom you have known at least one year):

    Reference #1

        Name:
        Street (line 1):
        Street (line 2):
        City:
        State:   Other (if non-U.S.):
        Zip/Postal Code:
        Phone number (include area code):
        e-mail address (if known):

    Reference #2

        Name:
        Street (line 1):
        Street (line 2):
        City:
        State:   Other (if non-U.S.):
        Zip/Postal Code:
        Phone number (include area code):
        e-mail address (if known):

    Reference #3

        Name:
        Street (line 1):
        Street (line 2):
        City:
        State:   Other (if non-U.S.):
        Zip/Postal Code:
        Phone number (include area code):
        e-mail address (if known):


PHYSICAL RECORD:  Do you have any physical condition which may limit your ability to perform the job applied for?  (This question is voluntary, and any answers will be kept confidential).
   

In case of emergency notify:

        Name:
        Street (line 1):
        Street (line 2):
        City:
        State:   Other (if non-U.S.):
        Zip/Postal Code:
        Phone number (include area code):
        e-mail address (if known):

I hereby authorize investigation of all statements contained in this application.  I understand that misrepresentation or omission of facts called for is cause for dismissal.  Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.  I also understand that I will be asked to sign a copy of this application at the time of interview or hiring, at which time I will also be asked for proof of identity and citizenship or immigration status.

Yes    No

Date:

 

 
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Web site designed by Shawn M. Powell, c/o Gledhill Nursery, Inc.
Copyright © 1999-2008 by Shawn M. Powell, c/o Gledhill Nursery, Inc.  No photographs or other original material on this web site may be reproduced without permission.

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