Shop and Save Market One Stop Grocery Shop

Application for Employment

Application date

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PERSONAL INFORMATION

Name:

Address:

Last

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First

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Middle

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Street

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City

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State

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Phone No.

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Referred by

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Are you 18 years of age older? YesNo

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EMPLOYMENT DESIRED

Position

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Date you can start

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Salary desired

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Are you employed now? YesNo

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If so may we inquire of your present employer? YesNo

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Which store are you applying for? Check all that apply.
AnyNilesDes PlainesBridgeviewChicago, ArcherDowners GroveChicago, Nagle

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Have you ever worked at any Shop and Save Market? YesNo

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If so, When and which location

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AVAILABLE TO WORK

Day	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday	Any available
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Day

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Any available

Hours

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FORMER EMPLOYERS

List below your last four employers, starting with the last one first.

Date
Month & Year

Name & address of employer

Salary
(upon leaving)

Position

Reason for leaving

From

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From

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From

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From

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GENERAL

Subjects of Special Study or Research Work

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Job Related Skills (typing, driver's license, etc.)

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Activities other than religious

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REFERENCES

List below three persons not related to you, whom you have known at least one year.

Name

Address

Position

Years
Acquainted

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EDUCATION

Grammar School

High School

College

Others

Name & location of school

Last year
completed

Did you
graduate?

Subjects studies
& degree(s) received

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YesNo

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1234

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YesNo

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1234

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YesNo

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1234

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YesNo

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(* Required) I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.

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(* Required) I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employement and any pertinent information they may have and I release all parties from all liability for any damage that may result from furnishing same to you. I understand and agree that if hired my empoyment is "at-will", there is no definite period of employement and may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice and without cause. I also inderstand and agree that for the first 90 days of my employment I will be an introductory employee subject to termination without cause and without prior notice.

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(* Required)Write the code (case sensitive) [ Refresh Image ]

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