Application

Step 1 of 4

Position Applied For

Salary Expectations

Date

Personal Data

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State ZIP Code

If you are under 18 years of age, please specify your age

(This information will only be used for child labor law purposes)

Are there any days, shifts or hours you will not work?

If yes, please explain below.

Will you work overtime, if required

Yes

When will you be able to start work?

Have you ever been found at fault in a civil action for an intentional tort (intentional commission of a wrongful act? If so, please explain the nature of the tort and the disposition of the action.

NOTE: Answering yes does not automatically exclude you from further consideration for the position.

How did you learn of Wasco Nursery?

If referral, who were you referred by?

Have you ever applied for or worked at Wasco Nursery before?

Yes

Are you legally authorized to work in the United States?

Yes

Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status)?

NOTE: The Federal Immigration and Reform and Control Act of 1986 requires that a DHS Employment Eligibility Verification “Form I-9” be completed for every new hire and that within 3 business days of beginning work every new hire must present to the employer documentation establishing his/her identity and authorization to work. This federal requirement must be satisfied as a condition of employment.

Yes

Driving Record

Answer only if driving is a requirement for the job for which you are applying.

Do you have a valid drivers license?

Yes

State

License Number

Have you had any tickets? If so, please explain.

Education

Describe any educational degrees, skills, training or experience you believe are relevant to the job applied for.

Please describe your educational history

All Applicants

You must answer all questions below unless specifically otherwise noted below. Please review the information prior to answering. When answering the following questions, you may exclude any records expunged, annulled, sealed, discharged, dismissed, erased under first-offender law or otherwise eradicated by stature or court order.

Has your license ever been suspended or revoked?

Yes

If so, please explain

Do you have any DUI or DWI convictions?

Yes

If so, please state when you were convicted and explain.

NOTE: A criminal conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation

Have you ever been convicted of a felony within the last seven years?

Yes

If so, please state what the felony was for and the subsequent rehabilitation.

NOTE: A criminal conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation

Applicants Acknowledgement(Required)

I certify that the answers given herein (including but not limited to the Criminal and Additional Driver
Record Information Supplement and Commercial Motor Vehicle Driver Supplement if applicable) are true
and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts
or incomplete answers in any application document may disqualify me from further consideration for
employment. I further understand that, if employed, any misrepresentations or omissions of facts in any
application document may be cause for my dismissal at any time without prior notice. I consent to and
authorize this Company to contact my former employers, references, and any and all other persons and
organizations for information bearing upon my qualifications for employment. I further authorize the
listed employers, schools and personal references to give the Company (without further notice to me) any
and all information about my previous employment and education, along with any other pertinent
information they may have and hereby waive any actions which I may have against either party(ies) for
providing a good faith reference.
I EXPRESSLY AGREE AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS NOT FOR A
SPECIFIC TERM, IS BASED ON MUTUAL CONSENT AND MAY BE TERMINATED BY ME OR MY
EMPLOYER WITH OR WITHOUT NOTICE OR CAUSE AT ANY TIME. I FURTHER UNDERSTAND THAT
NO ORAL PROMISE, EMPLOYER POLICY, CUSTOM, BUSINESS PRACTICE OR OTHER PROCEDURE
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(INCLUDING THE BASIC EMPLOYMENT POLICIES, PERSONNEL HANDBOOK OR ANY PERSONNEL
MANUALS) CONSTITUTE AN EMPLOYMENT CONTRACT OR MODIFICATION OF THE AT-WILL
EMPLOYMENT RELATIONSHIP BETWEEN ME AND THE EMPLOYER. I ALSO UNDERSTAND THAT
THIS ASPECT OF MY EMPLOYMENT MAY NOT CHANGE ABSENT AN INDIVIDUAL WRITTEN
AGREEMENT SIGNED BY BOTH ME AND THE PRESIDENT OF THE COMPANY.
I understand that applicants for certain positions may be required to qualify for employment based on
additional employment criteria. For example, I may be required to take job-related tests; take a driver’s
examination; submit to a background investigation or take a pre-employment drug test. If I am offered
employment or start work before any required test is completed, my employment is contingent on a
satisfactory result on all required tests. I authorize the release of any background check results and of
any drug/alcohol test to any state or federal authority requesting such information and in response to a
valid subpoena or other legal document.

I have read and agree with all that is listed in the Applicants Acknowledgement

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Wasco Nursery Employment Application

Personal Data

Driving Record

Education

Employment History

All Applicants

READY TO GET STARTED?