Apply Today | Piala's Nursery & Garden Shop

Position(s) Applied For *

Date of Application *

How Did You Learn About Us *

Last Name *

First Name *

Middle Name

Maiden Name

Address *

City *

State *

Zip Code *

How Long at Address? *

Telephone Number *

Email Address *

Social Security Number *

Best Time to Contact You

Are you at least 18 years old? *

No Yes

Have you ever filed an application with us before?

No Yes

If yes, give date

Are you a member of the National Guard or have you ever been in the armed forces?

No Yes

Specialty

Have you ever been employed with us before?

No Yes

If yes, give date(s)

Do any of your friends or relatives, other than spouse, work here?

No Yes

If yes, list name, relationship and job title:

Are you currently employed?

No Yes

May we contact your present employer?

No Yes

If hired, can you provide proof of U.S. citizenship or proof of your legal right to live & work in this country? (Proof of citizenship or immigration status will be required upon employment) *

No Yes

Date available for work *

What is your desired salary range? *

$

Are you available to work: *

Full Time

Part Time

Seasonal

Please Indicate Your Availability *

Mornings

Afternoons

Evenings

Seasonal

Please indicate dates available(Start)

Please indicate dates available(End)

Work hours are required on Memorial Day and weekends April thru June. Can you comply?

No Yes

Are you available to work other weekends than the ones listed above?

No Yes

Are you currently on “lay-off” status and subject to recall?

No Yes

Do you have a valid driver’s license in good standing?

No Yes

Do you have a valid CDL in good standing?

No Yes

This job may require you to do some heavy lifting (40# or more), frequent bending & many hours of standing or walking among other things. Can you do this type of work?

No Yes

Our employees cannot smoke on the premises during working hours. Can you comply?

No Yes

Can you speak any foreign languages?

No Yes

If so, what are they?

Education

Name and Address of High School

Course of Study (High School)

Years Completed (High School)

Diploma or Degree (High School)

Name and Address (Undergraduate College)

Course of Study (Undergraduate College)

Years Completed (Undergraduate College)

Diploma or Degree (Undergraduate College)

Name and Address (Business or Technical School)

Course of Study (Business or Technical School)

Years Completed (Business or Technical School)

Diploma or Degree (Business or Technical School)

Name and Address (Graduate/Professional)

Course of Study (Graduate/Professional)

Years Completed (Graduate/Professional)

Diploma or Degree (Graduate/Professional)

Please describe other training, seminars, coursework, etc. that applies to the job

WORK EXPERIENCE(This section does not need to be fully completed if a resume containing some of the same information is attached to this application. You should complete only those questions not answered in your resume.)

Resume

Maximum file size: 52.43MB

Start with your present or most recent job and include explanation of any gaps in employment. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, etc.

Employer

Address

Telephone Number

Dates Employed (Start)

Dates Employed (End)

Work Performed

Hourly Rate/Salary (Starting)

$

Hourly Rate/Salary (Final)

Job Title

Supervisor

May We Contact?

No Yes

Reason for leaving (please be specific)

Add Remove

Specialized Skills (Skills/Equipment Operated)

Other Qualifications (Summarize special job-related skills and qualifications acquired from employment or other experience)

State any additional information you feel may be helpful to us in considering your application

NOTE to ALL Applicants: You must be able to show proof within the first three days of employment, if hired, that you have a social security card or work permit, driver's license, picture Id or U.S. Passport. Employment consideration is subject to satisfactory work and personal reference reports and favorable reports from outside agencies upon verification of information supplied.

Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, creed, color, sex, national origin, religion, age, handicap, veteran or marital status, etc. that is prohibited by law or regulation. Piala's Nursery & Garden Shop is an equal opportunity employer.

Name *

Phone Number *

Best time to call

Occupation

Add Remove

APPLICANT'S STATEMENT

*

I hereby certify that the answers given by me on this application are true and correct without omissions of any kind whatsoever. I authorize credit checks, criminal checks, and the companies or persons identified in this application to give any information regarding my employment, together with any information they may have regarding me, whether or not it is on their records. I hereby release said companies for all liability damages whatsoever for issuing this information. I am aware that any misstatements or omissions of material facts on this application may be cause for immediate dismissal. Piala's Nursery & Garden Shop retains the right of employment at will, is for no definite period and may be terminated without notice. In applying for employment, I hereby state that I feel well and strong and know no reason why I cannot do the work assigned to me. I also agree to observe all company policies.