Employment ApplicationGarden & Associates, Ltd. is an equal opportunity employer and does not discriminate against applicants or employees on the basis of sex, race, color, religion, national origin, ancestry or age. In addition, the company does not discriminate against qualified individuals with disabilities.Contact InformationFull Name Email Address Phone Full Address Position(s) applied for Date available to start Are you over 18 years of age? —Please choose an option—NoYesHave you ever been convicted of a violation of the law other than a minor traffic violation? (answering yes will not automatically bar you from obtaining a position) —Please choose an option—NoYesPlease explain Have you applied to work with us before? —Please choose an option—NoYesWhen? If hired, proof of your identity and employment eligibility in the United States must be established by appropriate documentation at the time you begin work at Garden & Associates, Ltd.Are you willing to work an irregular schedule, overtime, different shifts and weekends when necessary? —Please choose an option—NoYesDo you have a valid Iowa driver’s license? —Please choose an option—NoYesDo you have access to adequate transportation to travel to and from work? —Please choose an option—NoYesPlease explain EducationHigh School Name Graduate —Please choose an option—NoYesCollege Name College Address Number of Years Completed Graduate Major Other Address Number of Years Completed Graduate Major Employment History (most recent employment first)Employer OneEmployer Name Employer Address Start Date End Date Start Salary End Salary Supervisor Position(s) Held Your duties: Reason for Leaving Departure was: —Please choose an option—VoluntaryInvoluntaryAdd EmployerEmployer TwoEmployer Name Employer Address Start Date End Date Start Salary End Salary Supervisor Position(s) Held Your duties: Reason for Leaving Departure was: —Please choose an option—VoluntaryInvoluntaryAdd EmployerEmployer ThreeEmployer Name Employer Address Start Date End Date Start Salary End Salary Supervisor Position(s) Held Your duties: Reason for Leaving Departure was: —Please choose an option—VoluntaryInvoluntaryU.S. Military ServiceBranch Start Date End Date Highest Rank Achieved Duties Other Experience or Qualifications (space can be used to elaborate on duties associated with positions listed above) Certification and Authorization — Please read thoughtfully I certify that all facts contained in the application are true and complete and acknowledge that the company is relying on the accuracy of the information provided. I authorize the company to verify the accuracy of the information provided herein, and I authorize former employers, educational institutions and credit agencies to release information concerning me to the company. I also authorize the company to give references and provide information about me in response to inquiries subsequent to my employment if hired. I understand that falsification, misrepresentation or omission of requested facts may result in denial of employment or, if employed, may result in immediate dismissal. I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or the company. I also understand and agree that no one has authority to promise me job security or continued employment, except the President of the Company in a formal written agreement signed by both of us.Signature of Applicant Date