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7399 Woodbury Pike • Roaring Spring, PA
814-224-5599
7399 Woodbury Pike • Roaring Spring, PA
814-224-5599
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Greenhouse and Garden Center
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Employment Application
Name
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Last
Address
Street Address
Address Line 2
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Armed Forces Americas
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Phone
Cell Phone
Social Security Number
What Position are you applying for?
If you are under 18 years of age can you provide required proof of eligibility to work?
Yes
No
Are you currently employed?
Yes
No
May we contact your present employer?
Yes
No
Are you legally authorized to work in the US?
Yes
No
Are you currently on lay-off status and subject to recall?
Yes
No
Have you been convicted of a felony in the past 7 years?
Yes
No
If so, please explain:
What type of work are you available for?
Full Time
Part Time
Both
On what date would you be available for work?
Have you ever applied to this company before?
Yes
No
Please list any days or dates and times you would not be available for work.
Education
(Name, Location, Years attended, Majors, Graduate?)
High School
College
Other (please specify)
Dou you possess and maintain a PA Pesticide Applicator’s License?
Yes
No
Employment Experience
Start with most recent job. Military and volunteer activities may be included
Employer
Address
Supervisor
Dates of Employment
Phone #
Title
Rate/Salary
Reason for leaving
Employer
Address
Supervisor
Dates of Employment
Phone #
Title
Rate/Salary
Reason for leaving
Employer
Address
Supervisor
Dates of Employment
Phone #
Title
Rate/Salary
Reason for leaving
Employer
Address
Supervisor
Dates of Employment
Phone #
Title
Rate/Salary
Reason for leaving
Holiday Hours
Weddings, special occasions, and holiday periods such as Christmas, Valentine’s Day, Mother’s Day, ect. make it necessary for flower shop employees to work until orders are completed. Shop employees can be scheduled 6 or 7 days per week at holidays and may work 60 to 70 hours or more per week at these times. Are you willing and able to work as necessary to complete holiday and special occasion work?
Yes
No
Additional Information
Use the space below to summarize any job related skills and/or qualifications acquired from employment or any other experiences. Please list any other information that you may feel will be helpful while considering your application.
Work Capability
Weddings, Funerals, and Holidays make a flower shop extremely busy. On such occasions every employee has to do whatever he or she can to make certain our customers receive their orders as requested and in a timely manner. The position for which you are applying may not involve all of the activities, skills and physical requirements listed below, but by knowing what everyone in the shop is able to do, jobs can be assigned better in any situation. Check any of the items listed below that you are
ABLE
and
WILLING
to do when needed.
Check all that apply:
Typing
Lifting Bulky Packages Frequently
Frequent Bending and Kneeling
Standing for Long Periods of Time
Customer Service/Selling
Talking to Customers on the Phone
Writing/Typing Orders Clearly & Accurately
Cleaning and Housekeeping
Tolerating Heat and Cold (Seasonally)
Using a GPS
Maintaining a Clean Work Environment
Organizing
Routing Deliveries
Making Deliveries
Loading Deliveries
Driving Manual Transmission Truck
Bookkeeping/Filing
Making Change
Using Computer Point of Sale System
Watering
Weeding
Operating a Skid Loader
Getting Your Hands Dirty (A MUST)
Being a Leader
References
List three people, who are well acquainted with you, do not list relatives or previous employers
Name
Phone #
Years known
Relationship
Name
Phone #
Years known
Relationship
Name
Phone #
Years known
Relationship
We Are An Equal Opportunity Employer
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital status, sexual orientation, or any other legally protected status.
Applicant’s Statement
I certify that the answers given in this application are complete and true to the best of my knowledge, and understand that if employed, falsified statements in this application or in any interviews shall be grounds for dismissal.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision and release the company from all liability for any damage that may result from utilization of such information.
I understand and acknowledge that, unless otherwise defined by applicable lay, any employment relationship with this company is of an “at will” nature, which means that the employee may resign at any time and the employer may dismiss the employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this company.
In the event of employment, I understand that I am required to abide by all rules and guidelines of this company.
Name
First
Last
Date
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