CCN Employment Application

Employment Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us?*
Tell us where you heard about us: word of mouth, radio ad
Email
example@example.com
Position(s) Sought*

EMPLOYER 2

Company NameAddress
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Position
Salary
Duties
Supervisor/Manager
Reason for leaving
May we contact?

YesNo
Phone Number
Format: (000) 000-0000.
Legal Statement
By submitting this application, I attest to the truthfulness of any and all information and answers provided above. Any false or misleading statements will be grounds for denial of employment or discharge. I understand that the company will be checking into my references and employment background. I authorize Cold Creek Nurseries to do so and release from liability anyone giving or obtaining such background information. This application does not constitute a contract of employment or an indication that any jobs are available. Any employment with the company is at-will, meaning the employer or employee can end the employment relationship at any time for any reason and with or without notice.
*

By checking this box, I verify that I have read and understand the foregoing statements.
Should be Empty: