Hansen’s Flowers and Gifts LLC

Employment Application

EQUAL EMPLOYMENT OPPORTUNITY

Hansen’s Flowers and Gifts LLC is an Equal Opportunity Employer. We do not discriminate against qualified

applicants based upon any protected group status, including but not limited to race, color, creed, religion, gender,

national origin, ancestry, age, marital status, military or veteran status, sexual orientation, physical or mental

disability or medical condition as defined by applicable equal opportunity laws.

DISCLAIMERS

We are glad you are interested in joining our Company. Please read the following statements carefully before you

agree and submit this application.

*The Company offers reasonable accommodations in the hiring and employment process for individuals with disabilities. If you need assistance in the application or hiring process to accommodate a disability, you may request an accommodation at any time.

*Candidate's Name: Last First Middle

*Date

*Address Address

City

State / Province / Region

Zipcode

Country

*Phone Number

*Email Address

*Are you legally authorized to work in the U.S.?

Yes

*If hired, can you submit documentation verifying your identity and your legal right to work in the U.S. within 3 business days of when you begin work for pay?

Yes

Other

*Position Applied For

*Date Available

*Desired Salary

*Status: Our hours of business are Monday – Saturday 8:00 am to 6:00 pm and Sunday from 8:00 am to 12:00 pm. Certain holidays are extremely busy for florists and we will need staff to work additional hours,

Full Time

Part Time

*Please list any days or hours of the week you cannot be available:

*DRIVERS ONLY* What areas are you most familiar with? Please check all that apply

Fairfield

Trumbull

Monroe/Easton/Newtown

Bridgeport

Southport/Westport

Weston

Norwalk

Greenwich/Stamford/Darien

Milford/Stratford

Orange

New Haven/West Haven