New job posting 5/6/23: Meat department days and mid-shift. Weekends. No experience needed. We will train on site. Customer service and Prep work. Full or Part-time.

New job posting 5/6/23: Kitchen help needed Full or Part-time. Prep work. Great summer job.

New job posting 5/10/23: Now hiring a bread slicer full/part time 18 over.

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Name *

First

Last

Phone Number

Address

Are you 16 or older?

• yes
• no

Are you 18 or older?

• yes
• no

List outside activities

Please do not list activities that would reflect race, color, religion, sex, national origin, disability or ancestry

Have you worked for this company before?

• yes
• no

If you selected yes to the above question please give dates employed.

Are any of your relatives employed by this company?

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• no

If you selected yes please provide name, relationship, and location in the following section.

Relatives Employed

Have you ever been convicted of a crime, excluding misdemeanors and traffic violations?

• yes
• no

If 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 hour

Type of employment desired

• full-time
• Part-time

Number of hours available per week

Date available to work

Do you have any commitments to another employer that might affect your employment with us?

• yes
• no

Are you legally eligible for employment in this country (a US citizen or alien authorized to work in the United States)?

• yes
• no

What days are you able to work?

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday
• Sunday

Last grade completed in high school

• 8 or less
• 9
• 10
• 11
• 12
• GED

What were your average grades?

Name and location of school

Last year of college for tech, or business school?

• 1
• 2
• 3
• 4

Did you graduate

• yes
• no

What 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 ancestry

What scholastic honors did you receive?

Include any US military service you may have

Can we contact your current employer?

• yes
• no

Work Experience 1

Most recent

Work Experience 2

second most recent

Work Experience 3

third most recent

Work Experience 4

forth most recent

Have you ever been disciplined for absenteeism or tardiness?

• yes
• no

What other special qualifications do you have?

Briefly state why you would like to work for our company

What department or departments are you interested in?

• Produce
• Bakery
• Bread house
• Coffee house
• Deli
• Kitchen
• Grocery
• Dairy/frozen
• Front end
• Meat
• Seafood

Date of application

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