Where Garden Dreams Come True...
APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION
NAME
PRESENT ADDRESS
PERMANENT ADDRESS
PHONE NO. ARE YOU 18 YRS. OR OLDER?
ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF A VISA OR IMMIGRATION STATUS? YES NO
EMPLOYMENT DESIRED
POSITION DATE YOU CAN START
SALARY DESIRED ARE YOU EMPLOYED NOW?
IF SO MAY WE CONTACT YOUR PRESENT EMPLOYER?
EVER APPLIED TO THIS COMPANY BEFORE?
REFERRED BY
EDUCATION NAME & LOCATION OF SCHOOL YRS. ATTENDED
MIDDLE SCHOOL
HIGH SCHOOL
COLLEGE
GENERAL
SUBJECTS OF INTEREST SPECIAL SKILLS
U.S. MILITARY OR
NAVAL SERVICE RANK
PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES
PRINT & TURN IN TO LEPPEK NURSERY & GARDEN CENTER
SOCIAL SECURITY
NUMBER
STREET CITY STATE ZIPSTREET CITY STATE ZIP