Online Employee Application | Newton Nurseries

Application for Employment

Your Personal Information

Home Phone:
Mobile Phone

E-Mail Address
Preferred Method of Contact:

Home TelephoneCell PhoneE-MailOther

Your Emergency Contact

In Case of an Emergency, I Authorize You to Contact:

Telephone Number

ALL QUESTIONS MUST BE ANSWERED STATE “N/A” IF QUESTION IS NOT APPLICABLE

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Applications are received and employees are hired without regard to race, sex (including pregnancy, sexual orientation, gender expression, and gender identity), national origin, color, religion, age, disability, genetic information, veteran’s status, citizenship status, or any other protected classes under state, local, or county regulations. The receipt of this application does not mean that job openings exist and does not obligate us in any way. We appreciate your interest in our organization.

THIS IS A DRUG-FREE WORKPLACE

Continue

Your Educational Background

Schooling	Did You Graduate?	Years Completed	Degree Received and Major Subject	Name of School	Location
High School or GED	YESNO
Trade, Business, or Correspondence	YESNO
College	YESNO
Graduate School	YESNO

Tell Us About Your Driving Record (Necessary for positions that may require use of a personal or company vehicle for work)

Do you hold a valid and unexpired Driver’s License that is not currently suspended or revoked?
YESNO
If yes, provide the state
Have you been convicted of any moving violation(s) in the last 5 years?
YESNO
If yes, give date(s) and explanation of each

Tell Us About Any Records

Have you ever been convicted of, received a sentence for, pled nolo contendere (no contest) to, been placed on probation, or fined by any judicial or quasi-judicial body for a crime, other than a minor traffic violation ?NOTE: Answering “yes” to this question is not an automatic bar to employment . Arrest records and juvenile, sealed, and expunged records should not be disclosed. Any other criminal record not disclosed by you may be considered falsification of this application, which may result in revocation of your employment offer or termination of your employment. Also, in accordance with any state or federal regulations, you may be required to provide copies of any criminal records.

YESNO
If yes, describe the details of the conviction/offense, the sentence for the conviction/offense, the date of the conviction/offense (month and year), and your rehabilitation since then:

Your Military Service

Branch of Service
Rank at discharge, if applicable
Dates of service From
To

List Duties and Special Training and/or Skills

Go Back Continue

Tell Us About Your Past (Answering “yes” to any of these questions is not an automatic bar to employment.)

Have you ever been disciplined or terminated from any job for an act of violence, harassment, discrimination, ethical breach, violation of a drug-free workplace policy, or theft?
YESNO
If yes, explain the circumstances, employer, and datee
Have you ever had any license or certification suspended or revoked?(e.g., driver’s license, certified landscape professional, certified nursery professional, real estate license, CPA, PHR, etc.)
YESNO
If yes, list the license(s) or certification(s) suspended or revoked and state when and why the license or certification was suspended or revoked.

Your Work History and Any Employment Gaps (Must be completed even when accompanied by resume) List most recent or current job first. You must include any gaps in employment, with a full explanation and dates for the gap. You must also provide a complete work history. If you need more space to provide a full work history, request additional work history pages.

Employer
Address (City, State, Zip)
Job Title

State Reason
Never Worked Before

Dates Employed
From	To

Phone (Include Area Code )

Hourly Rate, Weekly Salary, or Other Weekly Earnings
Starting	Final

Summary of Work Performed and Job Responsibilities
Supervisor’s Name

Go Back Continue

Agreement and Release

For the purpose of this agreement and release, Newton Nurseries. is referred to as “the company” or “you” in the following paragraphs.

The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application (even if discovered after employment) or any other employment form may lead to dismissal or denial of employment. If required, I agree to take a personality profile and to take, participate in, or submit to any other preemployment processes. I also agree to submit to any drug or alcohol testing prior to or after employment.

In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. I also acknowledge that the company may conduct a search for information about me that is in the public domain, including, but not limited to, information on social networking sites. In exchange for the consideration of my employment application by Newton Nurseries, I hereby release and forever discharge Newton Nurseries. (including its directors, officers, employees, and agents) and my past and/or present employers (including their directors, officers, employees, and agents) from any liabilities which may result from an investigation of my past and/or present employment or from the disclosure of such information. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record.

I understand that if my application is accepted and I am hired, employment at Newton Nurseries. is “employment at will." It is further understood that this at-will relationship may not be changed by any written document, verbal statements, or by conduct unless an authorized executive of Newton Nurseries. specifically acknowledges such change. I further understand that my at-will employment may be terminated at any time by me or by Newton Nurseries. and includes no guarantee, contract, or promise of employment for any specific length of time. I understand that the first 90 days of employment is a new-hire introductory period. Submission of this application does not imply that I will be hired.

I have read, understand, and by my signature consent to these statements.

Signature of Applicant
Date

State and/or federal regulations are subject to change at any time; therefore, the questions on this form are subject to exceptions and qualifications. The author does not bear responsibility for ensuring this form is up to date and compliant with state, federal, or local employment regulations. If in doubt, seek assistance from a qualified expert. Also, the author is not responsible for any unauthorized changes or omissions to the form. Revised March 8, 2016.

Go Back