Carolina Seasons Nursery Employment Application

* Indicates required field

Name *

First

Last

Street Address *

Email *

City, State, Zip *

Best Phone Number to Reach You *

Date of Application *

Driver's License Number and State of Issuance *

Which position are you applying for? *

EDUCATION *

Graduate Degree B.A. or B.S. Degree AAS Degree High School Diploma

SKILLS - check all that apply *

Last College Attended & Graduation/Attendance Dates *

High School & Graduation Year *

Other Education, Certifications, Etc. *

WORK HISTORY

Current or Last Employer City, State, Zip *

Job Title *

Responsibilities *

Dates Employed *

Supervisor's Name & Phone Number *

May we contact this employer? *

Yes No

Previous Employer City, State, Zip *

Supervisor's Name & Phone Number *

Job Title *

Dates Employed *

Responsibilities *

May we contact this employer? *

Yes No

Previous Employer City, State, Zip *

Job Title *

Dates Employed *

Supervisor's Name & Phone Number *

Responsibilities *

May we contacct this employer? *

Yes No

REFERENCES

Reference Name *

Phone Number *

E-mail *

Reference Name *

E-mail *

Reference Name *

E-mail *

Company and/or Address *

Phone Number *

Company and/or Address *

Phone Number *

Company and/or Address *

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 *

Yes No

If YES, please explain fully here *