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    Personal Information

    Name (required)

    Age

    Sex
    Malefemale

    Permanent Address

    City

    State

    Zip Code

    Telephone

    Email Address

    Education Completed

    Primary School

    High School

    College Name: College Major:

    Recent Employment History

    Company

    Telephone

    Position

    Supervisor

    Company

    Telephone

    Position

    Supervisor

    Company

    Telephone

    Position

    Supervisor

    Local References:

    Name

    Address

    Telephone

    Name

    Address

    Telephone

    Are you employed at the present time:­­­­­­­­­­­ YesNo

    Do you have prior Landscaping or Garden Center experience? If so, please state below:
    Do you possess a valid driver’s license?

    If yes, please provide state and number:

    Date available to begin:
    What days are you available to work:
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