Employment Application - Blossom Town Florist

Thank you for your interest in working with us at Blossom Town. Please complete the information below and we will contact you!

Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Position(s) Applied for:
Are you applying for:
- Full Time
- Part Time
- Casual
Are you willing to work any shift assigned?
- Yes
- No
Are you available to work holidays?
- Yes
- No
Date available for work:
Are you a U.S. Citizen or an alien legally authorized to work in the United States?
- Yes
- No
Education
High School*
School Name and Location Years Completed Did you Graduate? Diploma / Degree
Undergraduate College/University
School Name and Location Course of Study Years Completed Did you Graduate? Diploma / Degree
Graduate/Professional
School Name and Location Course of Study Years Completed Did you Graduate? Diploma / Degree
Skills and Qualification
Summarize any training, skills, licenses, and / or certificates that may qualify you as being able to perform job related functions in the position for which you are applying.
Employment Experience (most recent first)
Employer 1
Date Employed From/To*
Name of Employer*
Employer Phone Number*
Employer Address*
Supervisor*
Title*
Duties*
Hourly Rate/Salary*
Reason for Leaving*
May we contact this employer?*
If no, please explain:
Employer 2
Date Employed From/To
Name of Employer
Employer Phone
Employer Address
Supervisor
Title
Duties
Hourly Rate/Salary
Reason for Leaving
May we contact this employer?
If no, please explain:
Employer 3
Date Employed From/To
Name of Employer
Employer Address and Phone Number
Supervisor
Title
Duties
Hourly Rate/Salary
Reason for Leaving
May we contact this employer?
If no, please explain:
References
(List at least 3 references who are not relatives or employers)*
Name Relationship/Title Address Phone
References #2*
Name Relationship/Title Address Phone
References #3
Name Relationship/Title Address Phone
Signature of Applicant
The information provided in the application is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I give the employer the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
Your Signature
Date
MM slash DD slash YYYY

School Name and Location	Years Completed	Did you Graduate?	Diploma / Degree

School Name and Location	Course of Study	Years Completed	Did you Graduate?	Diploma / Degree

School Name and Location	Course of Study	Years Completed	Did you Graduate?	Diploma / Degree

Name	Relationship/Title	Address	Phone

Education

Employment Experience (most recent first)

References

Signature of Applicant