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EQUAL EMPLOYMENT OPPORTUNITY

NATURALLY GREEN IS AN EQUAL OPPORTUNITY EMPLOYER. THIS MEANS THAT ALL APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, NATIONAL ORIGIN, RELIGION, AGE, SEX, MARITAL STATUS, PREGNANCY, SEXUAL ORIENTATION, THE PRESENCE OF NON-JOB-RELATED MEDICAL CONDITION OR DISABILITY, VETERAN STATUS OR ANY OTHER LEGALLY PROTECTED CLASS.

Your Contact Info

Present Address

Permanent Address

If different from present address.

Emergency Contact Information

In case of emergency notify:

Job

Interest

General Information

Employment Information

NOTE: The applicant is not required to disclose the existence of any arrest, criminal charge or conviction, the records of which have been erased pursuant to Connecticut General Statutes sections 46b-146, 54-76o or 54-142a. The applicant is not required to disclose the existence of criminal records that are subject to erasure pursuant to Connecticut General Statutes sections 46b-146, 54-76o and 54-142a which are records pertaining to a finding of delinquency or that a child was a member of a family with service needs, an adjudication as a youthful offender, a criminal charge that has been dismissed or nolled, a criminal charge for which the person has been found not guilty or a conviction for which the person received an absolute pardon. The applicant is not required to disclose the existence of criminal records that have been erased pursuant to Connecticut General Statutes sections 46b-146, 54-76o or 54-142a since the applicant shall be deemed to have never been arrested within the meaning of the general statutes with respect to these proceedings so erased and may so swear under oath.

Driver Information

Many positions at NATURALLY GREEN require employees to drive. If you are applying for a driver’s position or a position which requires driving, please answer the following:

Educational History

Elementary School

High School

College

Trade School

Other Schooling

Employment History

List below your employers for the last ten (10) years. Start with your most recent employer first. Attach an additional sheet if necessary.

References

Give names of five persons not related to you, whom you have known for at least one year, who can provide a reference:

Reference 1

Reference 2

Reference 3

Reference 4

Reference 5

 

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