PONDSIDENURSERY

5918 Rt 9G - Hudson, NY 12534 - 518-828-1369 www.pondsidenursery.com - info@pondsidenursery.cor
EMPLOYMENT APPLICATION
DATE

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
ARE YOU AT LEAST 18 YEARS OF AGE?
DESIRED EMPLOYMENT
POSITION APPLIED FOR
DESIRED PAY
DATE YOU CAN START

MonthDayYear
Date
PRESENT EMPLOYMENT
MAY WE CONTACT?
SUPERVISOR
PHONE
EDUCATION
YEARS ATTENDED
SUBJECTS STUDIED
DATE GRADUATED

MonthDayYear
Date
EMPLOYMENT HISTORY
Name/Location

NameLocation
Supervisor Name / Contact

Supervisors NameContact Phone Number
How long did you work here?
Name/Location

NameLocation
Supervisor Name / Contact

Supervisors NameContact Phone Number
How long did you work here?
Name/Location

NameLocation
Supervisor Name / Contact

Supervisors NameContact Phone Number
How long did you work here?
HAVE YOU EVER BEEN CONVICTED OF A CRIME, OTHER THAN MINOR TRAFFIC OFFENSES? YES/ NO
Icertify that the information contained in this application is accurate and correct. I understand that any omission or erroneous information may be grounds for dismissal. I authorize the listed references above to give you all or any information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability that may result from furnishing the same to you. These policies do not create any promises or contractual obligations between this company and its employees. My employment is at will, which means I am free to terminate my employment at any time, for any reason, with or without cause, and the company has the same right.
SIGNATURE

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DATE

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Date
Email
example@example.com
Should be Empty:

EMPLOYMENT APPLICATION

EMPLOYMENT HISTORY

HAVE YOU EVER BEEN CONVICTED OF A CRIME, OTHER THAN MINOR TRAFFIC OFFENSES? YES/ NO