www.bluemels.com

Where Quality & Service are the Roots of our Business

The form below must be filled out completely to be considered. Potential candidates for employment will be notified by telephone if an interview is to be scheduled. Bluemel's Garden & Landscape Center is an equal opportunity employer.

Note: Items marked * are required fields

Personal Details

Name*
Address
Telephone
Social Security

Employment Desired

Position
Start Date
Salary Desired*
Currently Employed* Yes No
Contact Employer* Yes No
Can work in USA* Yes No
Worked here before* Yes No

Education History

High School
Name & Location*
Years Attended*
Graduate* Yes No
College
Name & Location*
Years Attended*
Graduate* Yes No
Trade School
Name & Location*
Years Attended*
Graduate* Yes No

General Information

Special Training
Special Skills
Military/Naval Service
Rank

Employment History

List your last 3 employers beginning with the most recent.
Employer number 1
Employer Name
Employment Dates
Salary
Position
Reason Left
Employer number 2
Employer Name
Employment Dates
Salary
Position
Reason Left
Employer number 3
Employer Name
Employment Dates
Salary
Position
Reason Left

References

Give the names of 3 persons not related to you that we may contact as a reference.
Reference number 1
Name*
Telephone
Business
Years Known
Reference number 1
Name*
Telephone
Business
Years Known
Reference number 1
Name*
Telephone
Business
Years Known