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Employment
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Employment
Employment Application
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Name
*
First
Last
Why are you seeking employment at Fiddleheads?
*
Date of Birth
*
Address
Phone
*
Email
*
SSN
Date Available to Start
*
Which position are you applying for?
Are you a US Citizen?
*
Yes
No
If not a US citizen, are you authorized to work in the US?
Yes
No
Have you ever worked for this company?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
Are you looking for full time or part time work?
*
Full Time
Part Time
Did you graduate High School? Where and when did you graduate?
*
Did you graduate College? Where and when did you graduate? What was your degree?
*
Other form of education?
*
Days/Hours Available Per Week
*
Reference 1
*
First
Last
Reference 1 Phone
*
Reference 1 Address
Reference 1 Relationship to you
*
Reference 1 Company
*
Reference 2
*
First
Last
Reference 2 Phone
*
Reference 2 Address
Reference 2 Relationship to you
*
Reference 2 Company
*
Reference 3
*
First
Last
Reference 3 Phone
*
Reference 3 Address
Reference 3 Relationship to you
*
Reference 3 Company
*
Military Service - Branch
Military Service - Dates served
Rank at Discharge
Type of Discharge
None or N/A
Entry Level Separation (ELS)
Officer Discharge
Dishonorable Discharge
Bad Conduct Discharge (BCD)
Other Than Honorable Conditions Discharge
General Discharge
Honorable Discharge
If other than honorable, explain:
Personal Information - Allergies
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
Any other medical information which should be known
Previous Employer 1
*
Company Name, Phone, Address, Supervisor, Job Title, Starting Salary, Ending Salary, Responsibilities, Starting Date, Ending Date, Reason for Leaving
May we contact this employer?
Yes
No
Previous Employer 1
Previous Employer 2
*
Company Name, Phone, Address, Supervisor, Job Title, Starting Salary, Ending Salary, Responsibilities, Starting Date, Ending Date, Reason for Leaving
May we contact this employer?
Yes
No
Previous Employer 2
Previous Employer 3
*
Company Name, Phone, Address, Supervisor, Job Title, Starting Salary, Ending Salary, Responsibilities, Starting Date, Ending Date, Reason for Leaving
May we contact this employer?
Yes
No
Previous Employer 3
Email
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ABOUT
PARTIES
SERVICES
Landscape Design
Delivery
Custom Potting
Gift Wrap
Services
Gifts
Houseplant Installation & Maintenance for local businesses
EVENTS
DIRECTIONS
CONTACT
Contact Info
Employment
PLANTS
Annuals
Perennials
House Plants
Shrubs & Trees
Succulents
TIPS
SHOP
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