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Employment
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Position Applying For
Which locations are you interested in?
Byron Center
Grand Rapids
Lansing
Kalamazoo
Are you under 18 years old?
Yes
No
Have you the legal rights to work permanently in the United States?
Yes
No
Are you related to anyone working for Grower's Outlet/Horizen Hydroponics
Yes
No
If yes, Name and Department of relative
Do you have your own reliable transportation?
Yes
No
Name
*
First
Last
Phone Number
Email Address
Address 1
Address 2
City
State
ZIP Code
Languages Spoken
Highest Grade Completed
1
2
3
4
5
6
7
8
9
10
11
12
Name and Location of High School
Did you graduate High School?
Yes
No
Did you receive a GED Certificate?
Yes
No
College or University Attended
Attendance Dates
Major
Degree Received
Other Job Related Training
Professional Licenses or Certificates
Professional Memberships
Can you lift up to 65 lbs. independently?
Yes
No
Have you ever served in the U.S. Armed Forces
Yes
No
If Yes, List Branch of Service, Years of Active Duty, Date of Separation, Rank
Have you been employed before now?
Yes
No
Employer Name
Job Title
Dates Employed
Start Date – End Date
Salary/Wage
Hours/Week
Duties
Reason for Leaving
References
Use this space to list professional references including Title and Contact Info.
Other Employment Experience
Use this space to list other employment experiences including name of Employer, Dates Employed, Title, Duties, Reference Contact Info, Salary
Additional Information
Use this space for any additional information you wish to provide concerning your qualifications for this position.
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