2. Have you ever worked for a landscape nursery before?   Yes   No
If "yes", explain the type of work you did. Also please tell us what you liked most about this work and what you liked least.

4. Have you ever had any serious medical problems? Yes   No
Operations? If so, please describe.

Do you have any disability that requires any accommodation? Yes   No
If so, explain:

5. Have you ever been to a doctor or chiropractor for a back problem? Yes   No
If so, please explain and give dates.

6. Do you smoke? If so, for how long have you been smoking?

7. Do you prefer working with other people or working alone?

8. Do you like to get jobs done quickly or would you rather take your time and be more thorough?

9. Would you describe yourself as "casual", "tidy", or "very tidy" ?

10. Describe your experience with landscape machinery, such as Bobcat/Skid Steer/backhoe/landscape rake/rototiller)

11. Do you consider yourself a good mechanic? Yes   No

What has been your experience maintaining and repairing equipment/vehicles?

12. Do you have a valid driver's license? Yes   No
If so, in which state? If not, give reason.

Because this job involves company vehicles, a Motor Vehicle Report (MVR) is necessary. We will obtain this through our insurance company.

14. What are your long-term plans for yourself?

15. What do you see as the biggest obstacles in reaching these goals?

16. What are your special talents, interests, hobbies?

17. Please list three references (previous employers/not family or friends).

(i) Name:
Address:

Phone:
Relationship:

(ii) Name:
Address:

Phone:
Relationship:

(iii) Name:
Address:

Phone:
Relationship: