Ammon Wholesale Nursery, Inc. - Online Application

Ammon Wholesale Nursery 6089 Camp Ernst Road Burlington, KY 41005	Hours Mon.-Fri. 8:00-4:30 Closed Weekends		1-800-972-3406 (859)586-6246 Fax (859)586-6183
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Employment Application

Introduction

Ammon Wholesale Nursery, Inc. is committed to maintaining a safe, drug-free workplace by promoting education, training and where appropriate, rehabilitation.
The company conducts the following testing:

Pre-employment
Reasonable suspicion
Post accident when medical treatment is required
After three consecutive safety violations in one year that required no medical treatment
After one safety violation in two consecutive years that required no medical treatment
After any vehicular accident

An Equal Opportunity Employer
We comply with all applicable state and federal Civil rights and equal employment laws and regulations.

Position

Position(s) applied for:
Referral Source: Advertisement Friend Relative Employment Agency Other

Personal Information

Last Name:

First Name:

Middle Initial:

Address:

City:

State:

Zip:

Home Phone:

SSN:

Have you filed an application at Ammon Wholesale Nursery, Inc. before?

Yes | No

Location:

Have you ever been employed at Ammon Wholesale Nursery, Inc. before?

Yes | No

Location:

Are you legally eligible for employment in the USA?

Yes | No

Are you available to work?
     Full-Time
     Part-Time
     Overtime (if needed)

HOURS	SUN	MON	TUE	WED	THU	FRI	SAT
FROM
TO

Do any of your friends or relatives work for Ammon Wholesale Nursery, Inc. Industries?

Yes | No

If yes, list name(s) and where:

Employment History

Have you ever been discharged from a job?	Yes \| No
If yes Company: Date: Reason:
List all work experience, military service, self-employment and periods unemployed during the last 10 years, beginning with the most recent. Volunteer work is considered valid work experience. Attach an additional sheet if necessary.

Company Name:

Employment Dates
From:
To:

Total Time w/Company:

Salary
Start:
Ending:

Position:

Supervisor
Name:
Title:

Duties:

Address

Supervisor Phone Number:

Reason for leaving:

Explain time between jobs:

Company Name:

Employment Dates
From:
To:

Total Time w/Company:

Salary
Start:
Ending:

Position:

Supervisor
Name:
Title:

Duties:

Address

Supervisor Phone Number:

Reason for leaving:

Explain time between jobs:

Company Name:

Employment Dates
From:
To:

Total Time w/Company:

Salary
Start:
Ending:

Position:

Supervisor
Name:
Title:

Duties:

Address

Supervisor Phone Number:

Reason for leaving:

Explain time between jobs:

	Name of Company	Position	Dates of Employment	Wage Hourly	Reason for Leaving
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Education/Skills

	Name and Address of School	Graduated or GED	Diploma/Degree	Major	Minor
High School Attended		Yes No
Last College Degree Confirmed		Yes No
Skills: Cash Register Computer Typewriter/Data Entry Spreadsheet Word Processing		Production/Mobile Machinery (list)		Other (list)
Have you ever been convicted of a crime, felony or misdemeanor? Yes \| No If yes, please describe, including dates charged, penalties, and current disposition. Note: Convictions are not an automatic disqualification from employment.

References

Below, give the names of three persons you are not related to, whom you have known at least one year.
	Name	Occupation	Phone Number	Years Acquainted
1
2
3

Signature

I certify that the answers given herein are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, with exception of contacting my present employer if I have so requested. I have read, understand and agree to the above statement. (please initial here)

I understand that my continued employment will depend upon the successful completion of work assigned to me during an orientation period of approximately ninety (90) days and upon my continued successful performance. I agree to conform to Ammon's rules, policies and practices. I have read, understand and agree to the above statement. (please initial here)

This application will be retained on file for a period of six (6) months. At that time, I must submit a new application to be considered for any employment openings. I have read, understand and agree to the above statement. (please initial here)

I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Ammon Wholesale Nursery, Inc., any employment relationship with the agency is considered "employment at will", which means the employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written documentation or by any conduct unless such change is specifically executed by the President/CEO of Ammon Wholesale Nursery, Inc. I have read, understand and agree to the above statement. (please initial here)

If I should be employed by Ammon Wholesale Nursery, Inc., I understand that any false, incomplete, or misleading information given on this application or during an interview shall result in immediate discharge. I have read, understand and agree to the above statement. (please initial here)

I hereby voluntarily authorize Ammon Wholesale Nursery, Inc., to obtain consumer reports about me. A consumer report is defined under the Fair Credit Reporting Act (FCRA) as any written, oral or other communication of any information by a consumer reporting agency bearing on a consumer's creditworthiness, credit standing, credit capacity, character, general reputation , personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing the consumer's eligibility for employment purposes. This report may include a criminal background check. If Ammon Plants obtains a consumer report about you and considers any information in the consumer report when making an employment-related decision that directly and adversely affects you, you will be provided with a copy of the consumer report before the decision is finalized. You also may contact the Federal Trade Commission about your rights under the FCRA as a "consumer" with respect to "consumer reports" and "consumer reporting agency". (please initial here)

Employers you do not wish us to contact:

I authorize the references listed above to give representatives of Ammon Wholesale Nursery, Inc. any and all information concerning my previous or current employment and any pertinent information they may have, personal or otherwise, and release all parties from any and all liability from any damage that may result. I have read, understand and agree to the above statement. (please initial here)

Verification

Please verify that you have read, understand, and initialed the above section before submitting.
All information stated above is true and may be verified. By checking this box you understand we may conduct a check on your background and/or credit history.
Check here if you agree to the terms above ->