APPLICATION FOR EMPLOYMENT
Full Name:___________________________________ Application Date: _________________

PERSONAL INFORMATION

Social Security #: _____________________
Present Address:_______________________________________________Present Phone #: ______________________
City: _________St: _____
Permanent Address:____________________ Permanent Phone #: _______________
City: _________St: _____
Position Applied for: _________________Starting Date:____________________
Do you have a valid drivers license? Yes/No License #: St: ____________________If so, do you have any tickets or points on your license at present? Yes/No
Will you be attending ALCA Career Days in Colorado (Mar 2004)? Yes/No
Currently Employed? Yes/No If so, may we contact your present employer? Yes/No
Do you seek Full/Part-time work? ______________
Would you work weekends? Yes/No
Do you have special skills, experience or qualifications related to the position(s) applied for?
____________________________________________________-

EDUCATIONAL HISTORY
Special Training: _________________________________________________________________
School or College Attending: _________________________
Years Completed: ____ Graduation Date (scheduled): _________________________________
Available Date for Permanent Employment: _____________________________________
Languages Spoken: English: ___ Spanish: ___ Other: ___ Languages you can read and write: English: ___ Spanish: ___ Other: ___
Special Interests or Specialization within the industry: _____________________________
List long-term goals:_________________________________________________________________
Reason for pursuing this field: _________________________________________________________
Curriculum Major: _________________ Specialization within Major: _________________________Current GPA within Major: _______
Physical Limitations that would inhibit your ability to perform physical landscape tasks: ____________

_______________________________ ____________________
Signature Date

Mail or fax to:
Human Resources Department
FloraTerra Landscape Management
1670 Little Orchard Street
San Jose, CA 95125
Phone: (408) 275-1200 o (800) 455-0304 Fax: (408) 275-1201 Email: contactus@floraterra.com
Please send with resume and references.