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Online Application

Personal Information
Name - Last: Middle: First: Date:
Home Address: City: State: Zip:
Home Phone: Business Phone: Social Security #:
Position Applying For: Days / Hours Available:
Interested In: Full Time Part Time Temporary Summer Start Date:
If Under 18, State Your Age: Are you willing to relocate?
How were you referred to Earl May: Worked at Earl May Before?
E-Mail Address: Store Location:

Education
School Location Area of Study Years Attended Graduated

Special Skills
Fax PC Word Excel Copier Calculator
Machinery (Please List):
What languages to you speak, read or write?

Military Service
Branch of Service: Technical Specialization: Rank Attained:

Work History
From (mo/yr) To (mo/yr) Employer Name & Address Base Earnings Reason for Leaving
Job Title & Duties Phone Number Supervisor
From (mo/yr) To (mo/yr) Employer Name & Address Base Earnings Reason for Leaving
Job Title & Duties Phone Number Supervisor
From (mo/yr) To (mo/yr) Employer Name & Address Base Earnings Reason for Leaving
Job Title & Duties Phone Number Supervisor
From (mo/yr) To (mo/yr) Employer Name & Address Base Earnings Reason for Leaving
Job Title & Duties Phone Number Supervisor

Personal & Professional References
Name Address Phone Title Relationship

Miscellaneous
May we contact your most recent employer? Are you a U.S. citizen?
If no, do you have a legal right and necessary documents to work in the U.S?
Were you ever discharged by any company? Reason:
Were you ever convicted of a crime other than a minor traffic violation?
If so, please explain:

Please Read Carefully:
In submitting this application for employment, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background and/or criminal history. I authorize anyone possessing this informaion to furnish it to Earl May upon request and I release anyone so authorized and Earl May from all liability and damages whatsoever in furnishing, obtaining,or using said information. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also that I am required to abide by all rules and regulations of Earl May Seed & Nursery L.C. I understand and agree that if employed, the employment will be "at will". That is, either I or Earl May may end the employment relationship at any time, for any reason. I understand that receipt of this application by Earl May does not imply employment and that this application and/or any other Earl May documents are not contracts of employment.
Do you agree to the above conditions?


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