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CSN EMPLOYMENT APPLICATION
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Name
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First
Last
Street Address
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Email
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City, State, Zip
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Best Phone Number to Reach You
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Date of Application
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Driver's License Number and State of Issuance
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Which position are you applying for?
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Greenhouse Technician Full-time
Greenhouse Technician Part-time
Nursery Field Crew Full-time
Nursery Field Crew Part-time
Internship - unpaid
EDUCATION
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Graduate Degree
B.A. or B.S. Degree
AAS Degree
High School Diploma
SKILLS - check all that apply
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Retail Sales
Wholesale Sales
Cash Register/Credit Card Machine
Plant nursery experience
Farm work experience
Last College Attended & Graduation/Attendance Dates
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High School & Graduation Year
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Other Education, Certifications, Etc.
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WORK HISTORY
Current or Last Employer City, State, Zip
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Job Title
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Responsibilities
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Dates Employed
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Supervisor's Name & Phone Number
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May we contact this employer?
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Previous Employer City, State, Zip
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Supervisor's Name & Phone Number
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Job Title
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Dates Employed
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Responsibilities
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May we contact this employer?
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Yes
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Previous Employer City, State, Zip
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Job Title
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Dates Employed
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Supervisor's Name & Phone Number
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Responsibilities
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May we contacct this employer?
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Yes
No
REFERENCES
Reference Name
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Phone Number
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E-mail
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Reference Name
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E-mail
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Reference Name
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E-mail
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Company and/or Address
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Phone Number
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Company and/or Address
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Phone Number
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Company and/or Address
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Have you ever been convicted of an offense against the law other than a minor traffic violation?
(A conviction does not mean you cannot be hired. The offense and how recently you were convicted will be evaluated in relation to the position for which you are applying.)
Conviction against the law other than a traffic violation
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No
If YES, please explain fully here
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