Application - Plant Technician and Waterer

Date:

Name:

*

Address:

*

Best telephone number to reach you:

Email address:

Why are you interested in this position?

*

When would you be able to start work?

*

What is your wage expectation?

*

Do you have a valid driver's license?

*

Yes No

Sage Garden Herbs is not on a bus route. Do you have reliable all-weather transportation?

*

Yes No

If yes, what type of transportation?

Are you currently employed?

*

Yes No

Are you currently a student?

*

No

Yes - High School

Yes - University, College or other

Education history:

High School/ G.E.D. Business/ Trade/ Technical University/ College

Details, including names of schools, fields of study, grades/ years of study and diplomas or degrees obtained:

Other training and/or skills related to the position applying for:

List any other education, training, special skills, certiﬁcations, or licenses that you possess:

This is a full-time position. Is this acceptable to you?

*

Yes No

What days are you available to work?

*

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Are there any hours, shifts, or days that you cannot or will not work between now and the end of June?

*

Yes

No

If yes, please explain:

Employment Record. List your complete full-time and part-time employment record. Begin with your current or most recent employer.

Company name:

Company address:

Start date to end date:

Immediate supervisor's name:

Reason for leaving:

May we contact this supervisor?

Yes No

Company name:

Company address:

Start date to end date:

Immediate supervisor's name:

Reason for leaving:

May we contact this supervisor?

Yes No

Company name:

Company address:

Start date to end date:

Immediate supervisor's name:

Reason for leaving:

May we contact this supervisor?

Yes No

Please indicate experience with the following:

POS software Barcode scanners Firefox Google Docs Spreadsheets (Excel; Numbers)

What qualifications do you have that would make you suitable for this position?

*

I authorize Sage Garden to conduct a reference check and I understand and agree that employment may be contingent upon the results of the reference checks.

Yes No