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Application for Employment
An Equal Opportunity Employer
* indicates required field
Personal Information
First Name*
Last Name*
Phone*
Email*
Address*
Apartment
City*
State, Zip*
Personal Questions
Have you ever worked for Saveway in the past?*
Yes
No
Are you currently employed?*
Yes
No
Are you either a U.S. citizen or an Alien with unrestricted authorization to work in the United States?*
Yes
No
Have you ever been convicted of or charged with a felony or misdemeanor?*
Yes
No
Are you under 18 years of age?*
Yes
No
Work Amount Desired:*
Full-time
Part-time
Temporary / Seasonal
Position Desired
Position Desired*
Alternate
Alternate
Availability
Available to Start:*
Weekday
Specific Times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Wage Desired
$
Wage Per
Education
High School
Name
Years Complete
Graduated/Completed?
Yes
No
Attending
College
Name
Years Complete
Graduated/Completed
Yes
No
Attending
Other
Name
Years Complete
Graduated/Completed
Yes
No
Attending
Employment History
Current/Most Recent Employer
Name of Employer*
Last Position*
Supervisor*
Street Address*
City*
State*
Zip*
Phone*
Start Date*
End Date
Ending Rate of Pay*
$
Duties & Responsibilities*
Add Employer
Personal or Business References
Reference 1
Name
Company
Position
Street Address*
City*
State*
Zip*
Phone*
I know this person as a:
Reference 2
Name
Company
Position
Street Address*
City*
State*
Zip*
Phone*
I know this person as a:
Reference 3
Name
Company
Position
Street Address*
City*
State*
Zip*
Phone*
I know this person as a:
Special Skills & Qualifications
Describe any special skills or qualifications for this position.
Policy & Application Agreement
I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Saveway, to investigate any statement contained in this application as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand that I am required to abide by all rules, regulations and policies of Saveway.*
I Agree
I Do Not Agree
Post Offer Drug and/or Alcohol Screening
I understand that if I am a qualified candidate for a job opening, I may be required to undergo a drug and/or alcohol screening with a subsequent negative result as a condition of employment. The submission of the form is my permission for Saveway Market or its agents to take samples of my breath and perform alcohol screening on those samples. Further, I give my consent for the release of the test results to authorized company management for appropriate review.*
I Agree
I Do Not Agree
Submit Your Application
Name:*
Date:*
Submit Application
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