2024 Application for Employment

An Equal Opportunity Employer

Nelson Nursery, Inc. does not discriminate any employee or applicant for employment because of race, color, creed, religion, ancestry, national origin, sex, affectional preference, disability, age (except as required by law), marital status with regards to public assistance. Individuals will not be excluded from employment rights, participation in or be denied the benefits of, or be otherwise subjected to discrimination under any program, service or activity under the provision of any and all applicable federal, state, and local laws against discrimination.

Personal Information Personal Information

Name (First & Last)

Email Address

Home Phone #

Cell Phone #

Address (Street)

City

State

Zipcode

Permanent Address

Are you over the age of 18? Are you over the age of 18? Yes No

If No, what is your date of birth?

Employment Desired Employment Desired

Position Desired

Date of Application

Employment you are seeking: Employment you are seeking: Full time Part-time Seasonal

Specify days and hours available:

Are you employed now? Are you employed now? Yes No

If so, may we inquire of your present employer? If so, may we inquire of your present employer? Yes No

Date you can begin work:

Salary desired?

Have you ever been employed by Nelson Nursery Inc.? Have you ever been employed by Nelson Nursery Inc.? Yes No

Dates from-to when you previously worked at Nelson.

Position held when you previously worked at Nelson.

Are you available to work weekends as may be required? Are you available to work weekends as may be required? Yes No

I was referred to Nelson Nursery, Inc by:

Are you acquainted with anyone that works at Nelson Nursery? Are you acquainted with anyone that works at Nelson Nursery? Yes No

If yes, name(s) ?

Employment History: List most recent employer first Employment History: List most recent employer first

Employer (Company Name)

Immediate supervisor's name:

Your job title:

Street Adress:

City

State

Zip code

Reason for leaving:

Summarize your job duties:

Is there any reason why you would not want us to contact this employer?

New Field New Field

Employer (Company Name)

Immediate supervisor's name:

Your job title:

Street Adress:

City

State

Zip code

Reason for leaving:

Summarize your job duties:

Is there any reason why you would not want us to contact this employer?

New Field New Field

Employer (Company Name)

Immediate supervisor's name:

Your job title:

Street Adress:

City

State

Zip code

Reason for leaving:

Summarize your job duties:

Is there any reason why you would not want us to contact this employer?

Education: Education:

High School: (name & location)

No. of Years Completed

Graduated Graduated Yes No

Degree, diploma or certificate and area of study

Vocational, technical: (name & location)

No. of Years Completed

Graduated Graduated Yes No

Degree, diploma or certificate, and area of study

College or university: (name & location)

No. of Years Completed

Graduated Graduated Yes No

Degree, diploma or certificate, and area of study

College/University/Grad School:

No. of Years Completed

Graduated Graduated Yes No

Degree, diploma or certificate, and area of study

List any job-related seminars, short courses, workshops, or other educational experience:

Work 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: References:

Name

Phone Number

Business

Years Acquainted

Name

Phone Number

Business

Years Acquainted

Name

Phone Number

Business

Years Acquainted

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

I understand that this application does not create a contract of employment. I understand that, if hired, I 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. I understand that this application does not create a contract of employment. I understand that, if hired, I 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