Name: *

First Name

Last Name

Phone # *

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Do you have transportation to work? *

Yes

No

This job may require the driving of our vehicles. Do you have a current driver’s license? *

Yes

No

This job requires that you be able to lift 50 pounds. Are you able to lift 50 pounds? *

Yes

No

Do you have any physical limitations that would impact your employment at Vineyard Gardens? *

Yes

No

What landscape/gardening experience(s) do you have? *

Flower Gardens

Shrub Plantings

Lawn Maintenance

Stone Walls and Paving

Install Irrigation

Greenhouse Work

Plant Sales

Equipment Maintenance

Other, please explain:

Supervisor's Name: *

First Name

Last Name

Company Phone #: *

(###)

###

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Supervisor's Name: *

First Name

Last Name

Company Phone #: *

(###)

###

####

Supervisor's Name: *

First Name

Last Name

Phone #: *

(###)

###

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