careers in-store

YOUR INFORMATION:

Are you 16 years of age or older?*	Yes No
Are you 18 years of age or older?*	Yes No
Can you, after employment, submit verification of your legal right to work in the United States? (All job offers are conditional upon satisfactory proof of the applicant's ability to work in the United States.)*	Yes No
Have you ever worked in our family of supermarkets before?* If yes, please indicate where and when:	Yes No
Are any of your relatives employed by our family of supermarkets?* If yes, please list name(s), relationship(s) and location(s)	Yes No

POSITION / AVAILABILITY:

Position Applying For*
Date You Can Start*
Availability	Full Time Part Time
If full-time is not available, would you consider part-time?*	Yes No
Are you able to work	Weekends Holidays Nights
Days/Hours Available - Please select all that apply	Sunday Monday Tuesday Wednesday Thursday Friday Saturday

APPLICANT’S STATEMENT:

I understand that the employer follows an “employment at will” policy, in that I or the employer may terminate my employment at any time, or for any reason consistent with applicable state or federal law. This “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the individual store owner. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity. Failure to submit such proof will result in denial of employment.
I understand that the company may with authorization investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.
I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

By selecting "I Accept" below you verify that you understand and agree with the above "Applicant's Statement":

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