Name

Email Address

Address

City

State

Zip code

Best phone number to reach you

Position(s) desired

Salary requirement

Please select the type of employment you would prefer Please select the type of employment you would prefer Part Time Full Time Seasonal Spring

Date you can start

Are you employed now? Are you employed now?YesNo

Have you ever applied at Milarch Nursery before? Have you ever applied at Milarch Nursery before?YesNo

Please list any training courses or qualifications you are currently taking or have completed:

Please list any achievements you have earned (i.e. employment, education, personal or sporting):

Please tell us when you are available to work (giving us the day of week and start/end times):

Please indicate the number of hours you are available to work in a seven (7) day period:

Tell us about your employment history (including Employer, Position, Start/End dates, and reason for leaving):

What do you perceive as 'good customer service'?

What does 'teamwork' mean to you?

Please list your technical skills or equipment you have operated

We will be checking your references so please provide two (2) employment references. We will need their contact name, company, position, and phone number. If you are unable to provide employment references please provide personal references.

Do you have any pre-existing illnesses or injuries that might impact your ability to safely perform the requirements of the position(s) you are applying for? Do you have any pre-existing illnesses or injuries that might impact your ability to safely perform the requirements of the position(s) you are applying for?YesNo

If you answered 'Yes' to the above question, please explain: