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IMPORTANT: Please
complete this application to be considered for jobs with Flowers
by Valerie. This page is SSL encrypted to
prevent any third parties from stealing the information you send to us.
It is VERY important to complete the entire application before you
click "Apply." Incomplete applications will be submitted, but you may
not be considered for a job.
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Contact
Information:
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Name:
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Street Address:
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City, State, Zip:
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Home Phone:
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Cell Phone:
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Email Address:
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Personal
Information:
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Are you at least eighteen
years
old?
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Yes No
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Social Security Number:
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Do you have a driver's license?
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Yes no
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Driver's License Number
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Driver's License Exp. Date:
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Driver's License Issuing State:
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Have you ever been convicted
of
a felony?
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Yes no
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Education:
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High School Name:
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Did you graduate?
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Yes No
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College Name:
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Did you graduate?
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Yes No
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Major/Degree
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Professional or Trade School
Name:
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Did you graduate?
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Yes No
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Course of Study:
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Job
Interest:
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Position Desired:
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Would you be interested in
temporary employment at holidays?
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Yes No
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Days Available to Work:
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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I can work nights:
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Yes No
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Employment Desired:
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Date I can begin work:
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Please explain why you want to
work at
Flowers by Valerie.:
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Prior
Experience:
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Start
with most recent employer and include all jobs you have worked in the
last seven years.
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Employer:
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Address:
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City, State, Zip:
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Telephone Number:
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Supervisor Name:
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Your Job Title:
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Final Salary:
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Duties:
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Dates of Employment
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Start: End:
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Were you fired?
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Yes No
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Reason for Leaving:
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Employer:
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Address:
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City, State, Zip:
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Telephone Number:
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Supervisor Name:
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Your Job Title:
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Final Salary:
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Duties:
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Dates of Employment
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Start: End:
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Were you fired?
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Yes No
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Reason for Leaving:
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Employer:
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Address:
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City, State, Zip:
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Telephone Number:
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Supervisor Name:
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Your Job Title:
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Final Salary:
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Duties:
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Dates of Employment
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Start: End:
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Were you fired?
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Yes No
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Reason for Leaving:
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Employer:
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Address:
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City, State, Zip:
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Telephone Number:
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Supervisor Name:
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Your Job Title:
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Final Salary:
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Duties:
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Dates of Employment
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Start: End:
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Were you fired?
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Yes No
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Reason for Leaving:
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Employer:
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Address:
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City, State, Zip:
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Telephone Number:
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Supervisor Name:
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Your Job Title:
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Final Salary:
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Duties:
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Dates of Employment
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Start: End:
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Were you fired?
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Yes No
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Reason for Leaving:
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Applicant
Information Release
I hereby authorize any person, educational institution, or company I
have listed as a reference on my employment application to disclose in
good faith any information they may have regarding my
qualifications and fitness for employment. I will hold Flowers by
Valerie, any former employers, educational institutions, and any other
persons giving references free of liability for the exchange of this
information and any other reasonable and necessary information incident
to the employment process. I further authorize Flowers by Valerie to
access my credit bureau report.
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Probationary
Employment
I understand and agree that if I am hired, the first ninety days of
employment are probationary and that I will be required to sign an
employment agreement outlining the terms of probationary employment. I
further understand that permanent employment may not be offered at the
conclusion of the probationary period.
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