Employment Application

Rosehill Palms Garden Center - Employment Application

Full Name(*)

Please type your full name.

Address(*)

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Zip Code(*)

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When can you start working?

Please select a date when you can start your employment with us.

E-mail(*)

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City, State(*)

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Phone(*)

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Desired Salary

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Position Applied for:

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Are you a citizen of the United States?(*)

YESNO

Are you a citizen of the United States?

Have you ever worked for this company?(*)

YESNO

Have you ever worked for this company?

Have you ever been convicted of a felony?(*)

YESNO

Have you ever been convicted of a felony?

If no, are you authorized to work in the U.S.?(*)

YESNO

If no, are you authorized to work in the U.S.?

If yes, when?

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If yes, explain:

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If employed, do you expect to be engaged in any additional business or employment outside of this job: If yes, explain:

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Please tell us a little about your High School education.

High School:

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High School City:

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Did you graduate?(*)

Did you graduate?

From

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Please tell us a little about your College education.

College:

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College Address:

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Degree

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Did you graduate?

From

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From

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Please tell us a little about any other Trade education.

School Name:

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School Address:

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Degree:

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Did you graduate?

From

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Please list three professional references.

Professional Reference 1

Full Name:

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Company:

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Address:

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Relationship:

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Phone:

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Professional Reference 2

Full Name:

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Company:

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Address:

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Relationship:

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Phone:

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Professional Reference 3

Full Name:

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Company:

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Address:

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Relationship:

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Phone:

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Please list your last three Previous Employments.
Start with #1

Company:

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Address:

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Job Title:

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Phone:

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Supervisor:

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Responsibilities:

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Previous Employment #2

Company:

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Address:

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Job Title:

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Phone:

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Supervisor:

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Responsibilities:

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Previous Employment #3

Company:

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Address:

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Job Title:

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Phone:

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Supervisor:

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Responsibilities:

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How should we contact you?

E-mailPhone

Submit a Resume

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Please enter the letters here:(*)

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Please note that the data you include in this form will be sent to us via the Internet. There are risks involved in electronic communication. Please refer to our Privacy Policy for further information.

By submitting a form via this website, you consent that, for the purpose of contacting you for employment consideration, we may need to to share your information with a third party for the purpose of Employment Verification. If you do not provide us with data marked as mandatory in this form, or consent to the use/disclosure of your data as outlined above, we may be unable to contact you, or respond to your employment application as outlined above.

Any information voluntarily disclosed in the form above will only be used by the employer to determine the extent of any employer-provided accommodations that may be necessary for the applicant under the American with Disabilities Act; the information disclosed will not be used to discriminate against the applicant during the hiring process for any reasons relating to disabilities, health problems, or medical conditions.

By submitting this form, you consent to the use/disclosure of your data for previous Employment Verification, and as outlined within our Privacy Policy.

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