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Employment
Application
Fill out the form below and we will get back to you as soon as possible. Thank you.
General Information:
Full Name:
*
Email:
*
Address Information:
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Mailing Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone/Cell Phone:
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How many years have you lived on Martha's Vineyard?
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Are you authorized to work in the U.S.?
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Yes
No
If hired, you will be required to show proof of work authorization.
Have you ever been convicted of a Felony?
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Yes
No
Do you have personal transportation?
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Yes
No
Driver's License #:
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Driver's License Expiration Date:
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MM slash DD slash YYYY
Driver's License State:
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Landscaping Questions:
What is your current employment position?
*
What position are you applying for at TLN?
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Forman
Laborer
What is your desired salary?
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What position are you applying for?
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Year-round
Seasonal
If Seasonal Please Specify Start & End Dates:
If hired, when would you be available to start work?
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Are you able to work on Saturdays?
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Yes
No
On a typical day, do you arrive to work:
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Early
On-time
Late
Most positions we offer involve heavy lifting. Are you able to lift at least 50 pounds?
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Yes
No
Are you able to work in a position that involves lifting or hauling for more than 1/2 a Day?
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Yes
No
How allergic are you to Poison Ivy?
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Very little
Moderately
More than moderately
Severly
Do you have any landscaping experience?
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Yes
No
If yes, how many years?
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Which machines have you used and are comfortable operating: (check all that apply)
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Skid-steer/Bobcat
Large Dump Trucks
Chain Saws
Tractor
Mowing Machines
Backpack Blowers
Woodchipper
Trimmers
Other
If Other, please elaborate:
*
For garden crew applicants: Please list 5 deer resistant plants that you would recommend to a customer.
Employment History:
Please list work experience beginnging with the most recent.
Employer:
Position:
Supervisor:
Phone #:
Address:
Dates of Employment:
Employer:
Position:
Supervisor:
Phone #:
Address:
Dates of Employment:
Employer:
Position:
Supervisor:
Phone #:
Address:
Dates of Employment:
References:
May we contact your previous supervisors for a reference?
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Yes
No
If not, please explain:
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Please list 2 personal references and contact information:
Reference #1 Name:
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Reference #1 Phone Number:
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Reference #2 Name:
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Reference #2 Phone Number:
*
Education Information:
High School:
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Year Graduated:
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College/University:
# of years completed:
Career Growth:
Once employed at Tea Lane Nursery, please indicate what you would like to improve your experience and knowledge of: (check all that apply)
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Machine Operation
Stonewall, Patio Construction
Planting Techniques
Horticulture
Organic Landcare
Lawn Care
Leadership
Training
Industry Standards
Other
If Other, please elaborate:
*
Terms & Conditions:
Terms & Conditions
*
Tea Lane Nursery does not condone the use of drugs or alcohol in the work place and requires that each employee is free from the effects of drug or alcohol while performing the tasks of the job. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentation or omissions of any kind may result in the denial of employment or be cause for subsequent dismissal if I am hired. I authorize Tea Lane Nursery to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information. I have provided and/or for the purpose of obtaining any information whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment. Regardless of whether or not I become employed by Tea Lane Nursery, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at TLN is on an at-will basis and that my employment may be terminated with or without notice, at any time, at my option or TLN's unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms of employment other than an officer of the company, and then only by means of a signed written document.
I have read and accept the above statement
Signature (Please Type Full Name):
*
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Date:
*
MM slash DD slash YYYY
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