Rate of pay expected:
please note whether that amount is hourly, weekly, or annually
Were you referred to Flowerland?
give a name / title of a person or organization
List any friends/family working for Flowerland:
Their name, relationship, work location & position are all helpful information.
Please provide details of the days of the week and times you are available to work.
Example: Sundays from 12:00 - 5:00, Mondays from 9:00 - 3:00, etc.
Please Read the following and Sign below: I acknowledge that the facts set forth on this application are true and complete. I understand that if employed, any false statement or omission on this application or any attachment shall be sufficient cause for dismissal. I understand that Flowerland is open every day, and if I am employed by Flower land, I may be scheduled to work anytime or day of the week, including holidays. I understand that before I am hired, Flowerland may require me to undergo a physical examination (after a conditional job offer) and/or a drug or alcohol test. I agree to take such an examination and/or test. I also understand that if I am hired, Flowerland may require me to undergo a drug and/or alcohol test at any time during my employment. I agree to take such a test. I understand that employment at Flowerland is at the pleasure and will of management, and can be terminated, with or without cause and without notice at any time, at the option of either the company or the associate. I authorize Flowerland to use its personnel or any investigative agency to investigate my employment record, education, criminal conviction record and financial record. I also authorize all
my employers and former employers, references, credit reporting agencies/bureaus, educational institutions and any other person(s) contacted by Flowerland representatives to provide
Flowerland with all records and information relevant to my employment application with Flowerland. I release all parties who provide such records or information from all liabilities arising from such disclosures; and I waive any rights to notice of such disclosures. Flowerland is an equal opportunity employer. I agree that any action or suit against the firm, its agents or employees, arising out of my employment or termination of employment, including, but not limited to, claims arising under State,
but not Federal, civil rights statutes, must be brought within 180 days of the event giving rise to the claims or be forever barred unless the applicable statute of limitations period is shorter
than 180 days in which case I will continue to be bound by that shorter limitation period. I waive any limitation periods to the contrary. I further agree that if I should bring any non-statutory
action or claim arising out of my employment against the firm, in which the firm prevails, I will pay to the firm any and all such costs incurred by the firm in defense of said claims or actions,
including attorney fees. I further agree that my employment is conditional until such time as the results of my post-offer physical (if such physical is required) are known. I authorize Flowerland to copy this document and agree that such copies with my signature shall have the same legal force and effect as the original document with my signature.
