Job Application Email Applicant Information Full Name * Email Address * Phone * Address City, State, Zip Position Applied For Salary Desired Date Available Have you ever worked for this company? Yes No Criminal Record Have you ever been convicted of a felony? Yes No Education High School Address From To Did you graduate? Yes No Diploma College Address From To Did you graduate? Yes No Degree Other School Address From To Did you graduate? Yes No Degree References Full Name Company Relationship Address Phone Full Name Company Relationship Address Phone Full Name Company Relationship Address Phone Previous Employment Company Phone Number Supervisor Job Title Address From Starting Salary To Final Salary Responsibilities Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company Phone Number Supervisor Job Title Address From Starting Salary To Final Salary Responsibilities Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company Phone Number Supervisor Job Title Address From Starting Salary To Final Salary Responsibilities Reason for Leaving May we contact your previous supervisor for a reference? Yes No Military Service Branch From To Rank at Discharge Type of Discharge If other than honorable, explain. Disclaimer I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Subscribe to our Newsletter Get weekly updates to see what's going on at our shop! Stay informed about our sales and upcoming events simply by filling out this form. Success! Name Email Subscribe Plants Unlimited 629 Commercial Street (Rt. 1) (PO Box 374) Rockport, ME 04856 (207) 594-7754 info@plants-unlimited.com Hours: 8:30am - 5:00pm Seven Days a week! Proud Member of Website design by Adventure Advertising