ABC Store Employment Application

ABC Store Employment Application - Step 1
Thank you for your interest in our Company. You must properly complete all portions of this employment application to be considered for employment at ABC Stores, Island Gourmet Markets, Island Country Markets, Hawaiian Casuals, or Island Favorites. This company is an equal opportunity employer, we do not discriminate on the basis of age, sex, race, religion, color, national origin, ancestry, martial status disability, arrest and court record, sexual orientation, or other protected categories in accordance with state and federal laws. This employment application is valid for 60 days after submission to the Company and only for the position applied.

Fields with asterisk (*) are required fields and will not be accepted if left blank.
Location for which you are applying?*
Last Name*
First Name*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail
Phone Number*
- Area Code Phone Number
Alternate Number
- Area Code Phone Number

ABC Store Employment Application - Step 2
Are you legally authorized to work in the United States?

Yes No
Position you are applying for*
If applying for "Other," specify what position you are applying for.
Are you looking for a Full or Part time position?

Part Time Full Time
Have you previously worked for this company before?

Yes No
If you have worked for this company before, please complete the fields below to tell us when and at what location.
Location
Start Date
Month Day Year
End Date
Month Day Year

ABC Store Employment Application - Step 3
By Law, this establishment is prohibited from permitting any person less than 18 years of age to sell or
serve liquor. If hired for any position which involves the selling of liquor, can you provide proof that you
are of age to legally sell liquor as required by law?

Yes No
Most of the positions available require you to work flexible days and hours. Are you available for flexible shifts?

Yes No
If no, please explain
If hired, what date can you begin work?*
- Month - Day Year

ABC Store Employment Application - Step 4
Education
High School
School Name / Location
Years Completed
Describe Course of Study
Undergraduate College
or University
School Name / Location
Years Completed
Describe Course of Study
Graduate /
Professional
School Name / Location
Years Completed
Describe Course of Study

ABC Store Employment Application - Step 5
Employment Record
List your last two previous employment. Failure to disclose all information and/or falsification will invalidate this employment application and lead to termination of employment.
Employer #1
Employer Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
- Area Code Phone Number
Supervisor Name
Job Title
Employment Start Date
Month Day Year
Employment End Date
Month Day Year
Hourly Rate
Starting Rate
Ending Rate
Work Performed
Reason for Leaving
Employer #2
Employer Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
- Area Code Phone Number
Supervisor Name
Job Title
Employment Start Date
Month Day Year
Employment End Date
Month Day Year
Hourly Rate
Starting Rate
Ending Rate
Work Performed
Reason for Leaving
Special Skills and Qualifications / Employment Gaps
Summarize special job-related skills and qualifications acquired from employment or other special training and experience. Also, explain any periods you were not working.

ABC Store Employment Application - Step 6
References
Reference #1
Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
- Area Code Phone Number
Reference #2
Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
- Area Code Phone Number
Reference #3
Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
- Area Code Phone Number

ABC Store Employment Application - Step 7
Pre Employment and Post Employment Substance Abuse testing procedures
ABC Stores may require job applicants offered employment to participate in a pre-employment drug test. Failure to pass the drug test shall result in termination of the job offer. Also, ABC Stores asserts its right and prerogative to test any employee for substance abuse using "for cause", "reasonable suspicion", "post-accident", or "periodic" methodology. Job candidates and employees may be asked to submit to urine, blood, saliva, breath, and/or hair testing for drugs or alcohol. Acceptance by the applicant or employee of testing is a mandatory condition of employment by ABC Stores, Island Gourmet Markets, Island Country Markets, Hawaiian Casuals, or Island Favorites.
....*

By checking here, I agree to all terms, conditions and procedures as stated above and this will serve as a mark of my signature.

ABC Store Employment Application - Step 8
Certification
Please read carefully before agreement.
1. I certify that the information contained in this application is true and correct to the best of my knowledge, and understand that any false or misleading statements or omissions, whenever discovered, regarding the application are grounds for disqualification from further consideration or for dismissal from employment.
2. If employed by ABC Stores, Island Gourmet Markets, Island Country Markets, Hawaiian Casuals or Island Favorites . I agree to conform to the guidelines and policies of the Company and understand that MY EMPLOYMENT IS AT- WLL AND CAN BE TERMINATED AT ANY TIME FOR ANY REASON.
3. I understand and agree that only the President of the Company has any authority to enter into any agreement to employ me for any specified period of time or to modify terms and conditions of my employment and such an agreement must be in writing and signed by the President.
4. I consent to and authorize the Company to make a full and complete investigation of my personal or employment history and authorize any former employer, person, firm, corporation, school, credit agency, government agency or other entity to provide the Company with any information of any sort (including fact or opinion) they may have regarding me. In consideration of the Company's review of this application, I release the Company and all providers of any information from any liability as a result of furnishing and receiving this information.
5. I understand and agree that I may be required to submit to drug testing and a complete post-offer medical examination, as part of my application for employment. I also understand and agree that I may be required to submit to a complete medical examination during my employment with the Company, provided that such examination is job-related and consistent with business necessity. The cost of such an examination will be paid by the Company. I authorize the physician conducting the examination and any laboratory testing any specimen obtained by the physician or collection site to disclose the results of the examination and the laboratory test to the Company in accordance with state and federal laws. The Company will keep such results confidential and disclose the results only to the person who needs to know or where required by law. Also, I agree to fully cooperate and provide the Company with any additional consent(s) and/or release(s) as required by the Company to investigate my employment application.
6. I understand and agree that an investigative consumer report may be made concerning my character, reputation, personal characteristics and mode of living. I hereby consent to and authorize that such a report be made which may include information regarding my credit. Information as to the nature and scope of this report may be obtained upon written request.
7. I understand and agree that all of the foregoing terms and conditions will become part of my employment relationship with the Company if I am employed by ABC Stores, Island Gourmet Markets, Island Country Markets, Hawaiian Casuals or Island Favorites .
....*

By checking here, I agree to all terms, conditions and procedures as stated above and this will serve as a mark of my signature.
Please enter the text you see in the field provided*
Should be Empty:

ABC Store Employment Application - Step 1

ABC Store Employment Application - Step 2

ABC Store Employment Application - Step 3

ABC Store Employment Application - Step 4

ABC Store Employment Application - Step 5

ABC Store Employment Application - Step 6

ABC Store Employment Application - Step 7

ABC Store Employment Application - Step 8