Please include your email address on applications Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEMAIL ADDRESSPhone NumberAddressAre you 16 or older?yesnoAre you 18 or older? yesnoList outside activitiesPlease do not list activities that would reflect race, color, religion, sex, national origin, disability or ancestryHave you worked for this company before?yesnoIf you selected yes to the above question please give dates employed.Are any of your relatives employed by this company?yesnoIf you selected yes please provide name, relationship, and location in the following section.Relatives EmployedHave you ever been convicted of a crime, excluding misdemeanors and traffic violations?yesnoIf you selected yes, please describe in full.The existence of a criminal record will not automatically disqualify you from the job you applied for.Wage expected per hourType of employment desiredfull-timePart-timeNumber of hours available per weekDate available to workDo you have any commitments to another employer that might affect your employment with us?yesnoAre you legally eligible for employment in this country (a US citizen or alien authorized to work in the United States)?yesnoWhat days are you able to work?MondayTuesdayWednesdayThursdayFridaySaturdaySundayLast grade completed in high school8 or less9101112GEDWhat were your average grades?Name and location of schoolLast year of college for tech, or business school?1234Did you graduateyesnoWhat were your average grades? What was your major course of study?Name and location of school What school activities and organizations including athletics did you participate in?Please do not list activities that would reflect race, color, religion, sex, national origin, disability or ancestryWhat scholastic honors did you receive?Include any US military service you may haveCan we contact your current employer?yesnoWork Experience 1Most recentWork Experience 2second most recentWork Experience 3third most recentWork Experience 4forth most recentHave you ever been disciplined for absenteeism or tardiness?yesnoWhat other special qualifications do you have?Briefly state why you would like to work for our companyWhat department or departments are you interested in?ProduceBakeryBread houseCoffee houseDeliKitchenGroceryDairy/frozenFront endMeatSeafoodDate of applicationSubmit
