Bordine Nursery, Ltd. - Online Employment Application

We appreciate your interest in our Company and assure you that we hire on the basis of qualification. In order to obtain a better understanding of your background, we ask that you complete the following application. No question is asked for the purpose of limiting or excluding consideration of persons for employment because of race, religion, sex, age, disability, national origin, veteran status or any other basis prohibited by law. All employment is terminable at the will of either the employer or the employee.

Check out available Career Opportunities

Personal Information

Name
	First	MI	Last

Address
	Number and Street	City	State	Zip

Phone Number

Email

Type of position you are seeking?	Salary desired $
Are you 18 years old or older? Yes No	If no, How old are you?
Are you employed now? Yes No	May we contact your employer? Yes No
Have you ever worked for us before? Yes No	If yes, date
Are you applying for (select one) Full time Part time Seasonal
Which location would you prefer to work at?

How did you hear about us?	Command Board Newspaper	Friend/Family (who) Other (specify)

Please specify the hours that you are able to work below: (Note: weekends are required for most positions)

Sun	Mon	Tue	Wed	Thu	Fri	Sat

On what date are you available to start work?

Have you ever been convicted of or entered a plea of "no contest," or "guilty" to a felon? Yes No

Are you currently awaiting trial or other disposition of a felony charge in connection with which you are currently out
on bail or on your own recognizance? Yes No

If you answered "Yes" to either question, please explain:

Note: A conviction record will not necessarily be a bar to employment, and factors such as the applicant's age at the
time of the offense, the age of the offense, and the nature and seriousness of the violation will be taken into account.

Education

	School Name	Years Completed	Did You Graduate?	Diploma / Degree
High School
College
Specialized Training

Do you have any special skills or licenses you'd like to tell us about and/or a specific job you are applying for?

Driving Information
If applying for a driver's position, please complete the following:

Personal References
Do not list family members

Name:	Phone Number:	Years Associated:
Name:	Phone Number:	Years Associated:
Name:	Phone Number:	Years Associated:

Employment History (Most recent position first)

Employer #1	Location	Phone #
Supervisor's Name	Supervisor's Title	Hire Date
Starting Wage	Ending Wage	Separation Date
Responsibilities

Reasons for leaving

May we contact this employer
If no, why not?

Employer #2	Location	Phone #
Supervisor's Name	Supervisor's Title	Hire Date
Starting Wage	Ending Wage	Separation Date
Responsibilities

Reasons for leaving

May we contact this employer
If no, why not?

AUTHORIZATION FOR EMPLOYMENT CONSIDERATION

In consideration of any employment by your Company, I agree that my employment is at the will of the Company, which means that the Company has the right to discharge me or lay me off at any time, with or without cause and with or without notice. It is expressly agreed and understood that this is the entire agreement between The Company and myself on the subject of discharge, termination, and/or layoff, and that this agreement may be changed only by an agreement in writing signed by the President of the Company and addressed specifically to me.
I further recognize that if employed by the Company, I agree, in partial consideration of my employment, to file a demand for arbitration to resolve any disputes arising from my employment, as required under Paragraph 7 below. I agree to file such demand within six (6) months after the claim arises or within the applicable statutory limitation period(s) provided by law, whichever occurs first.
I hereby release all third parties who provide information to the Company with or without notice to me, from any and all liability for the transmittal of any information bearing on my histories or qualifications, in connection with any such request. I further authorize and release the Company from all liability for forwarding to any other entity to which I may apply for employment, any information concerning histories and/or my qualifications or me as the Company has at the time of my application for employment or hereafter acquires. I further release from all liability any and all third parties for any statements made or any actions taken in connection with this application or any other applications made simultaneously herewith, or in connection with any other form of review of my histories or qualifications. I hereby waive on behalf of the Company any and all third parties any and all notice(s) I would otherwise be entitled to receive by law in connection with any reference check.
I will hold in strictest of confidence and will not disclose directly or indirectly to any unauthorized persons, without the Company's prior written permission, at any time during or subsequent to my employment, any knowledge not already available to the public, respecting the inventions or respecting the designs, methods, systems, improvements, trade secrets, production techniques, processes, sales promotions and ideas, customer lists or other confidential matters of the Company.
I understand that if I have a disability I must timely tell you in writing of my need for accommodation after I know or reasonably should know that an accommodation is needed. I further understand failure to do so will prevent me from alleging a violation of the accommodation requirements imposed by law.
I certify that all information submitted by me in this application is true, complete and correct and understand that if any such information is found to be misrepresented, omitted or otherwise incorrect, it may result in discharge from employment
ANY DISPUTE ARISING OUT OF OR IN CONNECTION WITH ANY ASPECT OF MY EMPLOYMENT OR ANY TERMINATION THEREOF (INCLUDING BY WAY OF EXAMPLE BUT NOT LIMITATION, DISPUTES CONCERNING ALLEGED CIVIL RIGHTS VIOLATONS, EMPLOYMENT DISCRIMINATION OF ANY KIND INCLUDING ON THE BASIS OF ANY PROTECTED CATEGORY UNDER FEDERAL OR STATE LAW, RETALIATION, WRONGFUL DISCHARGE, ENTITLMENT TO OVERTIME PAY, SEXUAL HARRASMENT BREACH OF EXPRESED OR IMPLIED CONTRACT OR TORT), SHALL BE EXCLUSIVELY SUBJECT TO BINDING ARBITRATION UNDER THE NATIONAL RULES FOR THE RESOLUTION OF EMPLOYMENT DISPUTE OF THE AMERICAN ARBITRATION ASSOCIATION ("AAA"), provided all substantive rights and remedies including any applicable damages provided under pertinent statue(s) related to such claims, the right to representation by counsel, a neutral arbitrator, a reasonable opportunity for discovery, a fair arbitral hearing, a written arbitral award containing findings of facts and conclusions of law, and any other provisions required by law, shall be available in the AAA forum. Any decision of the Arbitrator shall be final and binding as to both parties, and enforceable by any court of competent jurisdiction. Nothing containing herein shall prohibit me from filing any claims or charges with any appropriate government agency.

I UNDERSTAND THAT MY AGREEMENT HEREIN CONSTITUTES A WAIVER OF MY RIGHT TO ADJUDICATE CLAIMS AGAINST THE COMPANY IN COURT, AND THAT I AM OPTING INSTEAD TO ARBITRATE ANY SUCH CLAIMS.
In the event that one or more provisions of this application are declared void, the balance of the provisions shall remain in force.


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Do you possess a valid driver's license? Yes No
Drivers License #	Issuing State	Expiration
Check types of vehicles you are qualified, through license and experience to operate:
Passenger Car/Light Truck	Heavy Truck/Trailer	Standard Transmission Vehicle
Chauffeur's License? YesNo	CDL License?YesNo	Endorsement Type
Any convictions for moving violations within the last three years? YesNo If yes, how many?

All candidates for driving positons will have their driving record checked. Employment for these positions is based on qualifications and verifications of a satisfactory driving record. All drivers will be drug tested.