Personal Info

What position are you applying for? *

First Name *

Last Name *

Mailing Address *

City *

State *

Zip Code *

How Long at Current Residence *

Social Security Number *

Phone Number *

Other Phone Number

Employment History - Company #1

1. Organization Name

Position(s) Held; Responsibilities

Start Date

End Date

Reason for Leaving

Reason for Leaving Voluntary Involuntary

May We Contact Your Supervisor? Yes No

Supervisor's Name

Supervisor's Contact Info

Employment History - Company #2

2. Organization Name

Position(s) Held; Responsibilities

Start Date

End Date

Reason for Leaving

Reason for Leaving Involuntary Voluntary

May We Contact Your Supervisor? Yes No

Supervisor's Name

Supervisor's Contact Info

Employment History - Company #3

3. Organization Name

Position(s) Held; Responsibilities

Start Date

End Date

Reason for Leaving

Reason for Leaving Involuntary Voluntary

May We Contact Your Supervisor? Yes No

Supervisor's Name

Supervisor's Contact Info

More Info

How long have you resided on the peninsula? *

Reason for living here? *

Have you ever been convicted of a felony? *

Do you have your own transportation to work? *

Virginia Driver's License Number *

Have you even been convicted of any motor vehicle violations? If yes, how many in the past 3 years? *

Are you over 18 years old? Yes No *

Education

Highest education achieved *

Major

Do you presently attend school? Yes No

Do you have plans to attend school in the future? yes no

Skills

List any skills you have that would be helpful in this position:

What would you consider to be your major strengths?

Why did you decide to apply at Anderson's Home & Garden Showplace?

Availability

Are you available to work any hours of the day? Yes No *

Available hours for Monday *

Available hours for Tuesday *

Available hours for Wednesday *

Available hours for Thursday *

Available hours for Friday *

Available hours for Saturday *

Available hours for Sunday *

In order for us to be able to process your application, please review and select "Yes" if you agree with the statements.

I declare that all statements contained in this application are true and that any misrepresentation or omission may result in rejection of my application and/or termination of my employment at any time. Yes No *

I authorize you to conduct a criminal background check, as well as personal and professional background checks, for the purposes of the consideration of this application. You may contact any references, past and current employers, and any other individual or organization that might be relevant to the position for which I am applying except for those specifically excluded in writing on this application. I hereby release all of these references, employers and other individuals/organizations from any and all liability for damages that might occur in connections with the processing of this application. Yes No *

I understand and agree that my employment relationship with this organization is an "at-will" relationship, meaning that both the organization and I have the right to terminate this employment relationship at any time for no reason or for any reason as long as that reason is not illegal. No verbal promises or guarantees can change this at-will relationship. Any changes to the at-will relationship or its terms must be in writing, for the agreed purpose of changing the relationship, and signed by me and by an authorized office of this organization. (For further information, please consult this organization's at-will policy. Yes No *

This organization prohibits and does not tolerate discrimination in any form, including harassment, on the basis of race, color, national origin, religion, sex, age, veteran or marital status, disability, genetics, sexual orientation, or any other protected category of individuals. This organization is an equal opportunity employer and makes hiring and other employment decisions based on job-related qualifications, abilities and factors other than on the basis of the race, color, national origin, religion, sex, age, veteran or marital status, disability, genetics, sexual orientation, or any other protected category of individuals. (For further information, please consult this organization's EEO policy.) Yes No *

Please enter the last 4 digits of your social security number as your digital signature, after you have read and agreed to the statements above *

Upload Resume and/or Complete Application

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Thank you for submitting your application.

Employment Application

Personal Info

Employment History - Company #1

Employment History - Company #2

Employment History - Company #3

Education

Skills

Availability

In order for us to be able to process your application, please review and select "Yes" if you agree with the statements.

Upload Resume and/or Complete Application

Contact Us

(757) 599-3510

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