08/15/06
An Equal Opportunity Employer
APPLICATION FOR EMPLOYMENT
LAST NAME FIRST NAME MIDDLE INITIAL
TODAYS DATE
CURRENT ADDRESS CITY STATE00IP CODE
DATE AVAILABLE TO WORK
HOME/CELL NUMBER
ALTERNATIVE PHONE NUMBER
EMAIL ADDRESS
POSITION(S) APPLYING FOR :
___DELI ____CASHIER ____STOCKER ____PRODUCE ____OTHER (TITLE OR SPECIFIC SKILLS)
PREFERRED SCHEDULE
____FULL TIME (32+ HRS/WK) ____PART TIME (20 - 32 HRS/WK) _____ON - CALL
WHEN ARE YOU AVAILABLE TO WORK? (Shift hours start as early as 5:30am and as late as 12:00pm, 7 days a week)
DAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
FROM
TO
EDUCATION
NAME/LOCATION
NUMBER OR YEARS ATTENDED
DEGREE
RECEIVED
SUBJECTS
STUDIED/MAJOR
HIGHSCHOOL
COLLEGE
OTHER
08/15/06
HAVE YOU BEEN CONVICTED OF A CRIME IN THE LAST 7 YEARS OR ARE YOU FACING PROSECUTION FOR A CRIME ? ____NO ___YES
If yes, please describe, including the nature of the charge, date and place of conviction or pending prosecution.
WORK EXPERIENCE
DATES
EMPLOYED
JOB TITLE
COMPANY
NAME/LOCATION
SUPV. NAME /
PHONE NUMBER
HRLY
WAGE
AVG
HRS/
WEEK
DESCRIBE JOB DUTIES
REASON FOR
LEAVING
FROM
TO
MAY WE CONTACT Y__N__
FROM TO
MAY WE CONTACT Y__N__
FROM TO
MAY WE CONTACT Y__N__
LIST ANY FOOD SERVICE, RETAIL, SUPERVISORY OR OTHER EXPERIENCE OR ACTIVTIES RELATED TO THE POSITION YOUR ARE APPLYING
FOR.
If you are hired in a non management position at Food Front Coop, you will be required to make application to join United Food and Commercial Workers Union
Local 555.
Customer service is a top priority at Food Front Coop. We are looking for motivated employees who will provide enthusiasm and commitment. All employees are
expected to share in our goal of providing an open environment where customers know they will receive excellent product information and service. Food Front Coop
employees will, as a part of their job duties, be required to handle meat and meat products. Food Front Coop jobs almost always require walking and continuous use of
hands, arms, and upper body. Job tasks may include lifting up to 40 lbs.(some depts require more), pushing, pulling, and reaching. If you are hired, we may request
and pay for a medical evaluation of your job related physical abilities.
I confirm that the statements on this application are true and correct. I authorize investigation of all statements outlined in this application. I authorize my former
employers to discuss my past employment. I understand that misrepresentation or omission of facts presented on this application may result in rejection of my
application or, if employed, in termination of my employment. I understand and agree that this employment application is not a contract. Proof of United States
citizenship or documentation of the ability to work in the U.S. must be provided at the time of hire.
A NOTE TO THE APPLICANT:
THANK YOU VERY MUCH FOR TAKING THE TIME TO APPLY FOR EMPLOYMENT AT FOOD FRONT CO-OPERATIVE GROCERY. YOUR APPLICATION WILL
BE FORWARDED FOR REVIEW TO THE HUMAN RESOURCES MANAGER AND/OR THE APPROPRIATE DEPARTMENT MANAGER. IF YOU ARE CHOSEN FOR
AN INITIAL INTERIVEW, WE WILL CONTACT YOU (USUALLY WITHIN 2-4 WEEKS) AND AN APPOINTMENT WILL BE SCHEDULED. IF YOU DO NOT RECEIVE
A PHONE CALL FROM US, WE WILL NOT BE INTERIVEWING YOU AT THIS TIME. PLEASE BE ASSURED THAT WE WILL KEEP YOUR APPLICATION ON FILE
FOR 120 DAYS. WE WELCOME YOU TO RE-APPLY FOR ANY FUTURE OPENINGS. THANKS FOR YOUR INTEREST IN FOOD FRONT CO-OPERATIVE
GROCERY.
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