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
    What type of office experience do you have?
    What type of software have you used or familiar with?
    List any special training or skills -relevant to the position for which you are applying. ( e.g. software, 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


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

    Nelson Nursery, Inc.