APPLICATION FOR EMPLOYMENT
Name________________________________________________________________________________________
Home Address_________________________________________________________________________________
City__________________________________________________________State____________ Zip____________
Cell Phone Number (______) _________________________ Home Number (_______)_______________________
E-Mail _______________________________
Male_______Female________ If under 21 date of birth_________________________________________
If under 18 parent or legal guardian ____________________________________Phone (___)_________-____________
Have you ever worked for Reams before? □Yes □No If so, give date _____/_____/_____
Which location ________________________________________________________________________________
Do you have any friends or relatives currently working for Ream’s Springville Market?______________________
Name_________________________________________________________________________________
Name_________________________________________________________________________________
EMPLOYMENT DESIRED: part time___ full time ____seasonal_______(dates) day shift____night shift ____
Position(s) applying for: bagger____checker____stocker___produce____meat____gm_____deli_____
When would you be able to start? ______/______/______
What job-related skills do you have that you feel qualify you for employment with our company?
____________________________________________________________________________________________
____________________________________________________________________________________________
What are your top three attributes and your top three limitations?
____________________________________________________________________________________________
____________________________________________________________________________________________
Why do you feel you would be successful at Ream’s Springville Market?
____________________________________________________________________________________________
____________________________________________________________________________________________
What does “Outstanding Customer Service” mean to you?
____________________________________________________________________________________________
____________________________________________________________________________________________
EDUCATION AND TRAINING
NAME AND LOCATION
YEARS COMPLETED
GRADUTATED
High School__________________________________________________________________________________
Extra Curricular Activities you are involved in______________________________________________________
College____________________________________________________Course of Study___________________
EMPLOYMENT HISTORY
Please give a brief record of your last three jobs. Do not skip one even if you were only employed for a very brief
time. Start with your most recent employment.
From/To
Employer’s Name/Address
Position Salary
Name:
Address:
City:
Phone
Supervisor:
Name:
Address:
City:
Phone
Supervisor:
Name:
Address:
City:
Phone
Supervisor:
Summarize Skills, Experience,
Training, etc.
Reason for Leaving:
Reason for Leaving:
Reason for Leaving:
REFERENCE
Name_____________________________________Phone Number___________Relationship_______________
Are you legally able to work in the U.S. ?
If requested, would you be willing to submit to a drug test?
Would you authorize us to do a background check?
Have you ever been convicted of any violation of the law, other than a minor
traffic violation? (a yes answer to this question does not affect employment)
□Yes □No
□Yes □No
□Yes □No
□Yes □No
CERTIFICATE OF APPLICANT (read carefully before signing)
All information provided by me is true and correct to the best of my knowledge. I understand omissions or misrepresentations may be cause for rejection or if employed may
subject me to disciplinary action which may include termination. I hereby authorize any former employer, person, firm or corporation listed herein, including this company to
answer any and all questions and agree to hold all persons harmless for giving any and all truthful information within their knowledge or records. I agree to take a drug test at
any time before or after employment as a condition of employment. If employed, I agree to comply with all reasonable rules of the company as a condition of continued
employment. I also certify that I am at least 16 years of age. I understand the length of my employment is not guaranteed. I may resign at any time, with or without cause. I
understand the company also has the right to terminate my services at any time with or without cause. This “at will” employment cannot be changed or altered, wither by
anything written in this application or in the employee manual. Further, no employee or supervisor has the authority to change this policy.
Signature of Applicant___________________________________________________Date____________________
Accepted by:__________________________________________________________________________________
For Store Use Only: ___________________________________**_______________________________________
DEPT___________________________HIRE DATE_____________________________RATE $_______________