PERSONAL INFORMATION
    Full Name
    Email
    Home Phone#
    Cell Phone#
    Present Address
    Permanent Address
    Are you over the age of 18
    If not, what is your date of birth
    EMPLOYMENT DESIRED
    Position Desired
    Date of Application
    Employment you are seeking
    Specify days and hours available (add further details in notes below if needed)
    Sunday
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Saturday
    Are you employed now?
    If so, may we inquire of your present employer?
    Date you can begin work
    Salary desired
    Have you ever been employed by Nelson Nursery?
    If yes, dates employed
    Are you available to work weekends as may be required?
    I was referred to Nelson Nursery, Inc. by
    Are you acquainted with anyone that works at Nelson Nursery?
    EMPLOYMENT HISTORY: List most recent employer first
    Summarize your job duties
    Is there any reason why you would not want us to contact this employer?

    Summarize your job duties
    Is there any reason why you would not want us to contact this employer?

    Summarize your job duties
    Is there any reason why you would not want us to contact this employer?
    EDUCATION
    Years Completed
    Graduate

    Years Completed
    Graduate

    Years Completed
    Graduate

    Years Completed
    Graduate

    List any job-related seminars, short courses, workshops, or other educational experience
    WORK EXPERIENCE
    For cashier/store applicants: What retail experience do you have?
    For sales applicants: What type of merchandise have you sold?
    For greenhouse staff applicants: What experience do you have related to annuals, perennials, herbs, or vegetables?
    For nursery staff applicants: What experience do you have with trees and shrubs?
    For stock/loading/field staff applicants: What equipment have you used?
    List any special training or skills -relevant to the position for which you are applying. ( e.g. machine operation, floral design, landscape design, horticulture, foreign language fluency, certification, etc.)
    REFERENCES
    Name
    Phone#
    Business
    Years Acquainted
    Name
    Phone#
    Business
    Years Acquainted
    Name
    Phone#
    Business
    Years Acquainted
    ACKNOWLEDGEMENT: PLEASE READ & SIGN

    By my signature below, I promise that the information provided in this employment application ( and in any related documentation or interview) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration from employment, and may lead to my dismissal from employment, if discovered at a later date.


    I authorize any person, school, current or prior employer named in this from (or related documents or interview) to provide such persons, employers, and schools from any liability in making such statements.


    understand that this application does not create a contract of employment. I understand that, if hired, l am obliged to comply with any and all current and subsequently adopted Nelson Nursery, Inc. policies. I understand and agree that, if hired, my employment is at-will and is for no definite period of time, and may, regardless of the date of payment of wages or salary, be terminated at any time for any reason.


    Applicant's Signature
    Date
    ESSENTIAL JOB FUNCTIONS

    Our company has several types of positions. Each has essential job functions listed below. Please respond to the questions for the position for which you are applying. You may apply for more than one position.


    Store sales cashier


    Can you walk and stand on the job for the duration of a shift (typically 6-8 hours)?
    Can you frequently bend and squat reach, lift, carry, push, and pull with items (l-25 lbs) for ringing up, stocking, and unloading merchandise?
    Can you work near lawn and garden chemicals, cleaners, plants and soil?
    Can you work Saturdays, Sundays, and holidays (Mother's Day & Memorial Day) if it is required of the position?
    Can you operate a touch screen computer with occasional keyboard typing?

    Greenhouse Staff (general staff and/or sales)


    Can you walk and stand on the job for the duration of a shift (typically 6-8 hours)?
    Can you frequently bend, squat, reach, lift, carry, push, and pull with items up to 25 pounds as necessary for stocking, unloading, and reaching hanging plants for customers?
    Can you work Saturdays, Sundays, and holidays (Mother's Day & Memorial Day) if it is required of the position?
    Can you work near products such as lawn and garden chemicals, cleaners, plants, and soil?
    Can you work in the sun (greenhouse/nursery) for up to 8 hours?

    Loading/Stock/Field Staff


    Can you walk and stand on the job for extended periods of time-up to 8 hours?
    Can you frequently bend, squat, reach, lift, carry, push, and pull with items as required for stocking, loading, and harvesting/processing produce, plants, and merchandise?
    Can you lift at least 50 lbs?
    Can you work Saturdays, Sundays, and holidays (Mother's Day & Memorial Day) if it is required of the position?
    Can you work near lawn and garden chemicals, cleaners, plants and soil?
    Have you ever operated equipment such as forklifts or skid steers?
    Please add any comments or additional information that you feel is relevant.

    I certify that my responses above are correct and nothing to my knowledge would limit me from performing the functions listed.


    Signature
    Date


    Please stay on page until your application has been submitted. Thank You.

    Nelson Nursery, Inc.