Fresh Air Galaxy Application Form PDF Details

Are you looking for a new and exciting opportunity? Do you want to work in a field that allows you to be creative and think outside the box? If so, then we have the perfect job for you! The Fresh Air Galaxy is looking for talented and innovative individuals to join our team. We are a leading provider of creative solutions, and we are always looking for new ways to improve our services. If you are interested in applying, please fill out the form below. We look forward to hearing from you!

QuestionAnswer
Form NameFresh Air Galaxy Application Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesfresh air galaxy digital coupons, fresh air galaxy, galaxy food store, galaxy grocery store weekly ad

Form Preview Example

APPLICATION FOR EMPLOYMENT

The Company will maintain this application in an active status for thirty (30) days. If you desire to be considered for employment after thirty (30) days from the date of the application, you must complete and submit a new application, or come by the store and have the Manager update the application.

DATE OF APPLICATION:

BACKGROUND INFORMATION

(Please print all information)

 

 

 

 

Name:

 

 

 

Address:

 

 

 

Social Security No.:

 

Home Tel. No.:

 

 

 

Work Tel. No.:

 

Are you at least 18 years of age?

Yes

No

If less than 18 years of age, please provide date of birth:

Are you a citizen of the United States?

Yes

No

If not, have you received authorization from the United States Immigration and Naturalization Service to

work in this country?

Yes

No

(Note: Appropriate documentation will be required upon offer and acceptance of employment.)

POSITION DESIRED

Position Desired: _________________________

Date Available for Employment: _____________

FT/PT Preference:

Full-Time

Part-Time

Will it be a problem for you to work nights or weekends?

Either

Yes

No

Minimum starting salary or rate expected:

$ __________________________

To the best of your knowledge, are you able to perform the functions of the job(s) for which you are applying?

Yes

Briefly explain why you are applying for this position:

No

06192009-1

EDUCATION

 

 

 

 

High School

 

 

College

 

Graduate School

Circle highest grade completed:

8

9

10

11

12

1

2 3

4

1

2

 

 

 

 

 

 

 

 

 

School

Name of School

 

City, State

 

Avg. Grade

 

Date of Degree

Degree/Major

 

 

 

 

 

 

 

 

 

 

 

 

High School

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College or

 

 

 

 

 

 

 

 

 

 

 

Trade School

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Graduate School

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you attending school now?

Yes

Describe any other training or courses of study:

No

EMPLOYMENT HISTORY

List ALL former employers, starting with the most recent. Use additional paper if necessary.

 

Month/Year

 

 

 

 

Last

 

 

Firm Name, Address & Phone

Started/Left

Position & Duties

Supervisor

Salary

Reason for Leaving

 

 

Started:

 

 

 

 

 

 

 

 

 

Left:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month/Year

 

 

 

 

Last

 

 

Firm Name, Address & Phone

Started/Left

Position & Duties

Supervisor

Salary

Reason for Leaving

 

 

Started:

 

 

 

 

 

 

 

 

 

Left:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month/Year

 

 

 

 

Last

 

 

Firm Name, Address & Phone

Started/Left

Position & Duties

Supervisor

Salary

Reason for Leaving

 

 

Started:

 

 

 

 

 

 

 

 

 

Left:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month/Year

 

 

 

 

Last

 

 

Firm Name, Address & Phone

Started/Left

Position & Duties

Supervisor

Salary

Reason for Leaving

 

 

Started:

 

 

 

 

 

 

 

 

 

Left:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Month/Year

 

 

 

 

Last

 

 

Firm Name, Address & Phone

Started/Left

Position & Duties

Supervisor

Salary

Reason for Leaving

 

 

Started:

 

 

 

 

 

 

 

 

 

Left:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May we contact your present employer

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

Please provide any additional information about you and the skills you possess that would assist us in making our decision to hire you:

06192009-2

ADDITIONAL INFORMATION

Have you ever been convicted of, or pleaded guilty to, a crime other than a minor traffic offense?

Yes No

If yes, please explain:

Have you ever been discharged or requested to resign from any position due to misconduct, theft,

or unsatisfactory performance?

Yes

No

 

If yes, please explain:

 

 

Have you ever served in the military?

Yes

No

 

 

 

If yes, please list dates served:

From: __________________________ To: ___________________

If yes, were you honorably discharged?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please list all your previous addresses for the past ten (10) years, beginning with the most recent.

 

 

 

 

 

 

 

 

 

 

Year(s)

 

 

Address

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

 

to

 

 

 

 

 

 

 

 

 

 

Street Address

 

City

State

Zip

06192009-3

REFERENCES

Give name, address, and telephone number of three business references (such as a former immediate supervisor) who are not related to you.

Name

Address

Telephone Number

RELEASE

PLEASE READ CAREFULLY

I certify that the foregoing answers are true and correct to the best of my knowledge, and understand that any misstatement or omission as to any fact will constitute grounds for my immediate dismissal or rejection of my application. The correctness of all statements made in this application may be investigated. In connection with such investigation, I authorize all former employers and other persons contacted, to release any and all information in their possession, which has or may have a bearing on my suitability as an applicant, and I release all employers or other persons supplying or requesting such information from any and all liability.

Date ______________________________

Signature of Applicant ________________________________

Neither the acceptance of this application nor the subsequent entry into a type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel benefit plans, policy statement(s), and the like, as they may exist from time to time, or other customary practices, shall serve to create an actual or implied contract of employment or to confer any right to remain an employee, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, which cannot be altered except by written instrument signed by the owner of the Company. Both the undersigned or the Company may end the employment relationship at any time, without specified notice or reason, and without liability by the Company to the undersigned except for earned wages or salary.

Date ______________________________

Signature of Applicant ________________________________

06192009-4

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