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Employmentff_admin2023-05-03T07:14:40+00:00

FRESHWAY MARKET EMPLOYMENT APPLICATION

We are an equal employment opportunity employer. We do not discriminate on the basis of race, color, creed, religion, ancestry, marital status, gender, gender identity, pregnancy, sex, sexual orientation, national origin, political affiliation, military status, age, or mental/physical disability, or any other protected status in accordance with applicable federal, state, and local laws.

APPLICANT INFORMATION
Last Name*
First*
M.I.
Date*
Street Address*
Apartment/Unit #
City*
State*
ZIP*
Phone*
E-mail Address*
Date Available
Social Security No.
Desired Salary
Position Applied for
Are you at least 18 years old?*
- Yes
- No
Those hired under 18 will be required to obtain a work permit.
Are you applying for:*
- Full Time
- Part Time
Are you legally authorized to work in the United States?*
- Yes
- No
Foreign languages spoken/written
Do you have reliable transportation?*
- Yes
- No
Have you ever worked for this company?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
If so, when?
If yes, explain
Are you able to perform the essential functions of the position for which you are applying either with or without reasonable accommodations?
- Yes
- No
Availability Schedule:
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
EDUCATION
High School
Address
Degree
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
College
Address
Degree
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Other
Address
Degree
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
REFERENCES
Please list two professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- First Choice
- Second Choice
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for Leaving
May we contact your previous supervisor for a reference?
- Yes
- No
Have you ever been terminated or asked to resign from any job?
- Yes
- No
If yes, please explain the circumstances:
MILITARY SERVICE
Branch
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Rank at Discharge
Type of Discharge
If other than honorable, explain
DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Need Assistance or Have a Question?

We would love to assist you in any way we can. If you have a question, query or a general comment, please click below to get in touch with us right now.

© 2023 FRESHWAY MARKET, INC. All Rights Reserved.

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