EMPLOYMENT APPLICATION Please enable JavaScript in your browser to complete this form. - Step 1 of 4Name *FirstLastMiddle NameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *PhoneAre you 18 years or older?YesNoAre you legally eligible to work in this country?YesNoEmployment DesiredPosition Applied For:Salary DesiredDate Available to Start WorkHave you applied with us before?YesNoWhen?Are you currently employed?YesNoIf so, may we contact your current employer?YesNoReferral SourceWalk-InAdvertisement/SignEmployeeInternetOtherEmployee Referral:Other Referral:Check the following area(s) in which you are interested:Nursery (trees/shrubs/perennials)Showroom SalesGrowing/Production GreenhousesDelivery DriverGarden CenterSeasonal HelpFlower ShopRelated Experience or knowledge:If your work history does not reflect any direct experience in the areas that you have checked above, what related experience or knowledge do you have?NextWhat is your availability?(Days/Times) Note: Flexible availability has much to do with who we call for interviews and hire, including evenings and weekends.Total number of hours per week:Employment HistoryProvide the following information for your past and current employers, starting with the most recent. Explain any gaps in employment in the comment section below.Employer NameCityPhone NumberSupervisor's NamePositionFromToSalary StartingSalary EndingJob DutiesReason for LeavingSingle Line TextSecond EmployerEmployer NameCityPhone NumberSupervisor's NamePositionFromToSalary StartingSalary EndingJob DutiesReason for LeavingNextEducational BackgroundSchools AttendedNumber of Years CompletedDid you graduate?Subjects Studied or Degree/DiplomaHigh School Name and LocationDid you graduate from high school?YesNoHigh School # of Years CompletedCollege/UniversityCollege/University Name & LocationCollege/University Number of Years CompletedDid you graduate from College/University?YesNoCollege/University Subjects Studied or Degree/DiplomaBusiness/Trade SchoolBusiness/Trade School Name & LocationBusiness/Trade School # of Years CompletedDid you graduate from Business/Trade School?YesNoBusiness/Trade School Subjects Studied or Degree/DiplomaSubjects of Special Study or Research:Special Skills:Military ServiceRankMembership in the Nat'l Guard or Reserves?YesNoNextReferencesList the name and telephone number of three school or personal references who are not related to you:Name 1FirstLastPhoneYears KnownName 2FirstLastPhoneYears KnownName 3FirstLastPhoneYears KnownCriminal RecordHave you ever been convicted of a crime other than a misdemeanor? (Do not include any sealed or expunged records, only convictions.)YesNoIf yes, please explain:List any other information you would like us to consider:Caan Floral & Greenhouses has made a strong commitment to being a drug-free workplace. All job applicants being considered for employment at Caan Floral & Greenhouses will undergo testing for the presence of illegal drugs as a condition of employment. Anyone confirmed to have a positive test result will be denied employment. Caan Floral & Greenhouses does not discriminate against applicants because of past history of drug abuse, therefore, any individual who fails a pre-employment drug test may initiate another inquiry after a period of no less than six months and present themselves as drug free. I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from employer's service, whenever it is discovered. I give the employer the right to contact and obtain information from all references, employers, and educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information. The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law. This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary. I further understand that any such assurances must be in writing and signed by an authorized officer. I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for reasonable accommodation as required by the ADA. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.Signature of Applicant *I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.Date *PreviousSubmit