Application for Employment

Thank you for your interest in employment with Square One Markets Inc. Please take some time to fill this application out completely. If a question does not apply to you, please enter NA.

* Required Fields
 
Personal Information
* Last Name:
 * First Name:
 Middle Initial:
* Street Address:
 * Telephone Number (Include Area Code):
* City:
 * State:
 * Zip Code:
* Are you 18 years of age or older and legally eligible to work in the United States?
 Are you willing to work overtime?
 Full Time/Part Time?
Position Desired:
 Rate of Pay Desired:
Are you currently employed?
 If yes, what is your current position?
May we contact your present supervisor? If yes, please provide name and telephone number (Include Area Code):
Name:

 Phone:
How soon will you be available to work?
 * Do you have a valid driver's license?
* Locations Desired: (Check all that apply)
 
What skills or qualifications do you possess that would benefit the position you are applying for?
Have you or has any friend or family member ever worked for Square One Markets Inc. before? If YES, please describe:
This position requires long hours of standing, some lifting and working in a cooler/freezer. Do have any special needs or physical limitations that prevent you from performing these tasks? Please describe:
* Have you ever been convicted of a felony within the last 7 years? (Conviction will not necessary disqualify an applicant from emmployment):
 
 
Availability
Please provide us with your availability to work. Please indicate hours and days of the week or leave blank.
Hours Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Start
End
 
Education
* High School
 Did you graduate?
 Receive GED?
 Number of years attended:
College Did you graduate?
 Type of Degree?
 Number of years attended:
Other Education
 Did you graduate? Type of Degree or Certificate?
 Number of years attended:
 
Employment History
Please list your last three employers, starting with the most recent or present.
* Employer:
 * Position Held and work performed:
* Address/Location:
* City:
 * State:
 * Zip Code:
* Start Date:
 * End Date:
 * Starting Pay:
 * Ending Pay:
* Telephone Number: (Include Area Code)
 * Full time/Part Time:
 * Supervisor:
* Reason for Leaving:
Employer:
 Position Held and work performed:
Address/Location:
City:
 State:
 Zip Code:
Start Date:
 End Date:
 Starting Pay:
 Ending Pay:
Telephone Number: (Include Area Code)
 Full time/Part Time:
 Supervisor:
Reason for Leaving:
Employer:
 Position Held and work performed:
Address/Location:
City:
 State:
 Zip Code:
Start Date:
 End Date:
 Starting Pay:
 Ending Pay:
Telephone Number: (Include Area Code)
 Full time/Part Time:
 Supervisor:
Reason for Leaving:
 
References
Please provide us with a list of 3 individuals (not relatives) whom you have know for at least 2 years:
* Name:
 * Address:
 * Telephone:
 * Relationship:
* Name:
 * Address:
 * Telephone:
 * Relationship:
* Name:
 * Address:
 * Telephone:
 * Relationship:
 
Emergency Contact
Please provide us with a person to contact in case of an emergency:
* Name:
 * Telephone:
 * Relationship:
 
* Questions for Employment
1. You are working as a cashier at our store when one of your good friends, who shops at the store on a regular basis, comes in and wants to purchase some items, but when he/she approaches your register doesn't have enough money. Your friend then asks you if he/she can pay you later. What do you do?
2. It is the responsibility of the person on the shift before you to clean the bathrooms before they leave. You begin your shift and a customer approaches your counter and tells you that the bathroom is unclean, what do you do?
3. A customer wants to purchase 3 bottles of soda, a bag of chips, and a bottle of aspirin. The total for these items is $11.72. He/she hands you a $100.00 bill, how much change would you hand back?
4. A customer approaches your counter and is angry that he/she has to prepay for gas. How would you handle the situation?
5. A customer that appears about 21 years of age asks for a pack of cigarettes. What do you do?
 
  
Certification
  * I Certify that I have read and fully completed all questions on this application and certify that the information I have provided is true and complete to the best of my knowledge. I understand that deliberate falsification or omission of information may considered just cause for refusal of or dismissal. I authorize Square One Markets Inc. to obtain personal interviews with any person(s) listed on this application. I also understand that Square One Markets Inc. may request a drug/alcohol test and/or lie detector test at the company's cost. I understand that, if I am employed, there will be a probationary period of 30 days, or longer if necessary, and if in the judgement of Square One Markets Inc. or store manager I am found unsuitable at any time during this period, my employment can be terminated without notice or reason. In any event, all obligations on the company's part regarding salary shall end the last day I work.
 
  Please enter applicants full name and date:
 
* Full Name:
 * Date:

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