Safeway Job Application PDF Details

If you are looking for a job, you may be interested in working at Safeway. Safeway is a grocery store chain that operates stores in the United States and Canada. The company has been in business since 1915. In this blog post, we will take a look at the Safeway job application form. We will provide information on how to apply for a job at Safeway and what to expect once you have applied. We will also provide tips on how to improve your chances of getting hired by Safeway.

You can find more information about the safeway job application by looking through the listing we put together.

QuestionAnswer
Form NameSafeway Job Application
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namessafeway application form, safeway job application, safeway employment application, safeway apply now

Form Preview Example

APPLICATION FOR EMPLOYMENT

(Non-California Applicants ONLY)

To learn more & join the Safeway team visit Safeway.com

AN EQUAL OPPORTUNITY EMPLOYER

The Safeway policy is to provide employment, training, compensation, promotion and other conditions of employment without regard to race, color, religion, sexual orientation, national origin, sex, age, disability, veteran or any other legally protected status. Applicants must reapply at least once every two months to remain under consideration for employment.

PERSONAL INFORMATION

NAME

 

 

 

 

 

 

TEL. NO. (

)

 

 

 

First

Middle Initial

Last

 

 

 

 

 

 

OTHER NAMES USED FOR EMPLOYMENT OR EDUCATION (if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL

 

 

 

ADDRESS

 

 

 

 

 

 

 

SECURITY NO.

 

 

 

Street/Apt. #

City

State

ZIP

County

 

 

 

FOR WHAT POSITION(S) ARE YOU APPLYING?

 

 

 

FULL-TIME

 

PART-TIME

EITHER

PREFERRED FACILITY/STORE?

 

 

 

 

 

 

 

 

 

 

ARE YOU UNDER THE AGE OF 18?

YES

NO

IF UNDER 18, STATE YOUR AGE

 

 

 

ARE YOU LEGALLY ABLE TO WORK IN THE UNITED STATES?

YES

NO

 

 

 

HAVE YOU WORKED FOR SAFEWAY OR ONE OF ITS AFFILIATED COMPANIES LISTED AT THE TOP OF THIS APPLICATION?

YES

NO

WHEN?

WHERE?

 

 

 

 

 

 

 

 

 

 

POSITION HELD?

 

 

 

REASON FOR LEAVING?

 

 

 

LIST THE NAMES OF RELATIVES EMPLOYED BY ANY OF THE SAFEWAY COMPANIES AND THEIR WORK LOCATION

 

 

NONE

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

RELATIONSHIP

 

 

WORK LOCATION

 

1.)

 

 

 

 

 

 

 

 

 

 

 

2.)

3.)

FOR APPLICANTS OUTSIDE OF HAWAII:

HAVE YOU BEEN CONVICTED OF A CRIME WITHIN THE LAST TEN (10) YEARS (other than a minor traffic violation)? YES NO Hawaii applicants do NOT answer this question.

IF YES, STATE THE DATE, LOCATION, NATURE AND DISPOSITION OF THE OFFENSE:

(A “Yes” answer will not necessarily disqualify you from employment.)

*FOR HAWAII APPLICANTS: If you are made a conditional offer of employment, you will be asked to provide information regarding criminal convictions prior to hiring.

DATE AVAILABLE FOR WORK

TOTAL HOURS AVAILABLE PER WEEK

(You may list time needed for religious practices/observances as “available” time.) The majority of retail store shifts are afternoons, evenings and weekends.

SUN

MON

TUES

WED

THURS

FRI

SAT

 

 

 

 

 

 

 

Earliest Time

Latest Time

1/2008

 

 

 

 

 

 

APPLICATION FOR EMPLOYMENT

 

 

 

 

 

 

 

(Non-California Applicants ONLY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To learn more & join the Safeway team visit Safeway.com

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDUCATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME & ADDRESS OF SCHOOLS ATTENDED

FROM

TO

CIRCLE HIGHEST

DEGREE/MAJOR

 

 

 

 

 

mo/yr

mo/yr

GRADE/LEVEL COMPLETED

 

 

 

 

 

 

 

 

HIGH SCHOOL

9 10 11 12

COLLEGE

1 2 3 4

GRADUATE

1 2 3 4

OTHER

1 2 3 4

RECORD OF U.S.A. MILITARY AND RESERVE STATUS

Service Dates

 

 

 

 

 

 

FROM mo

yr

TO mo

yr

Branch

Reserve Unit

Meeting Dates

Summarize skills, training or qualifications:

 

 

 

 

 

 

 

 

 

 

 

 

PROFESSIONAL/PERSONAL REFERENCES

 

 

NAME

 

ADDRESS

PHONE NUMBER

OCCUPATION

1.)

 

 

 

 

 

 

2.)

 

 

 

 

 

 

EMPLOYMENT HISTORY

List each job held during the last seven (7) years with a minimum of three (3) employers. Start with your present or last job. Also, include any periods of unemployment, military service, and volunteer and/or part-time work experience. If necessary, use an additional sheet to include related work history beyond seven (7) years.

EMPLOYMENT

COMPANY AND

SUPERVISOR’S

DATES (mo/yrs)

MAILING ADDRESS

NAME/PHONE

FROM

 

 

TO

 

 

FROM

 

 

TO

 

 

FROM

 

 

TO

 

 

FROM

 

 

TO

 

 

FROM

 

 

TO

 

 

SALARY

YOUR JOB TITLE

SPECIFIC JOB DUTIES

REASON FOR

LEAVING

 

 

 

START

 

 

 

FINAL

 

 

 

START

 

 

 

FINAL

 

 

 

START

 

 

 

FINAL

 

 

 

START

 

 

 

FINAL

 

 

 

START

 

 

 

FINAL

 

 

 

Have you ever been fired from a job or given an opportunity to resign?

Yes

No

If yes, Explain:

 

 

READ THE FOLLOWING CAREFULLY, THEN SIGN AND DATE THE APPLICATION

Please initial each of the following paragraphs:

Certification: I certify that the information I provided on this application is true and correct to the best of my knowledge, and I agree to have this information checked by the Company. I authorize the references listed to provide the Company with information about my previous employment and any other information they may have. I release all parties and persons, including the Company, from any and all liability for any damages for providing this information, consistent with state and federal law.

At-will employment: I understand that nothing in this application is intended to be, or is, an offer of employment or a promise of continued employment. I understand that if I become employed by the Company, my employment is for no specific term. I further understand that, except for any periods of time that I am employed in a position covered by an express written agreement that provides otherwise, my employment with the Company may be terminated at any time, with or without cause and/or notice, at the will of either me or the Company. I further understand that no Company representative has any authority to enter into any agreement with me different or contrary to the foregoing.

Eligibility verification: I understand that any false statement or omission on this application may prevent me from receiving an offer of employment, may result in a withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time the false statement or omission is discovered.

I understand that any offer of employment is conditioned on satisfactory proof of my identity, that I am of legal age, and that I have legal authorization to work in the United States. I also understand that this may include the Company’s receipt of satisfactory responses to reference requests, my passing of any required drug screening test, satisfactory completion of a background check, if applicable, and satisfactory completion of a post-offer medical examination, if applicable.

Applicant Signature

Date

Interviewer’s Signature

Date

1/2008

APPLICATION FOR EMPLOYMENT

(Non-California Applicants ONLY)

To learn more & join the Safeway team visit Safeway.com

APPLICATION INFORMATION

To be completed by Applicant

 

 

NAME (Required)

 

 

First

Middle Initial

Last

Race/Ethnic Group

 

Application Date

 

Source Code

SELECT ONLY ONE

 

Month

Day

 

Year

Walk-in

American Indian/Alaskan Native

 

 

 

 

 

Jan

 

 

2005

 

Newspaper Advertisement

 

 

 

 

 

Employee Referral

Asian

Feb

 

 

2006

 

Native Hawaiian/

Mar

0

0

2007

 

Employment Agency

Other Pacific Islander

Apr

1

1

2008

 

Female/Minority Group Referral

Black/African American

 

May

2

2

2009

 

Community/Vocational Rehab Org

Hispanic/Latino

 

Jun

3

3

2010

 

High School/College Referral

White

Jul

 

4

 

 

Job Fair/Recruiting Event

Two or More Races

Aug

 

5

 

 

Internal Postings

 

6

 

 

Sep

 

 

 

Job Postings

 

 

 

 

 

Decline Disclosure

 

7

 

 

Oct

 

 

 

Other (Explain) _______________

 

 

 

8

 

 

 

 

Nov

 

 

 

____________________________

 

 

 

9

 

 

Gender

 

 

 

 

 

 

 

 

 

Internal Employee Application

 

Dec

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Male

Female

Decline Disclosure

TO BE COMPLETED BY HIRING PERSONNEL ONLY

(mark appropriate boxes)

 

Job Group Codes

 

Disposition Codes

1B Assistant Store Managers

 

A = No position available within the last 60 days

1C Department Managers

 

B = More qualified applicants available

1D Head Clerks

 

C = Unavailable to work required hours

1E

Pharmacy Manager

 

D = Available type of work was not acceptable

1F

Supply Manager/Supervisor

 

E = Unable to contact/unavailable for interview

1G Backstage Manager

 

F = Wage not acceptable

1H Distribution Manager

 

G = Did not meet post-offer policy requirements

2A

Pharmacist

 

H = Declined job offer

2B Professionals

 

I = Did not show up for interview

3A

Technician

 

J = Ineligible for rehire

4A

Food Clerks: Jny/App/Produce

 

K = Did not pass pre-employment test

4B Service Departments

 

L = Hired

4C Courtesy/Helper Clerks

 

M = Other

5A

Senior Clerical

 

 

 

 

5B Clerical

 

 

6A

Crafts, Skilled

 

 

7A

Operators, Semi-Skilled

 

 

8A

Laborers, Unskilled

 

 

9A

Service Workers

 

 

 

 

 

 

Interview Date

Month

Day

 

Year

Jan

 

 

2005

Feb

 

 

2006

Mar

0

0

2007

Apr

1

1

2008

May

2

2

2009

Jun

3

3

2010

Jul

 

4

 

 

5

 

Aug

 

 

 

6

 

Sep

 

 

 

7

 

Oct

 

 

 

8

 

Nov

 

 

 

9

 

 

 

 

Dec

 

 

 

 

 

 

 

1/2008

NOTICE AND CONSENT CONCERNING CONSUMER REPORTS

AND INVESTIGATIVE CONSUMER REPORTS

This form, which you should read carefully before signing, has been provided to you because Safeway Inc. (“the Company”) may request consumer reports or investigative consumer reports from USIS Commercial Services, Inc. (“USIS”) in connection with your application for employment or, if you are or become employed by the Company, during the course of your employment with the Company. Such reports may be requested for purposes of evaluating your suitability for employment, promotion, reassignment, retention or other employment-related purposes.

The types of reports that the Company may request from USIS include, but are not limited to: credit reports, criminal records checks, court records checks, driving records, and/or summaries of educational, employment records and histories, and investigative consumer reports (reports with information regarding your character, general reputation, personal characteristics or mode of living). The information contained in these reports may be obtained by USIS from public record sources, educational institutions, USIS clients, or through personal interviews with your co-workers, neighbors, friends, associates, current or former employers, or other people you know. You have the right to request additional disclosures of the nature and scope of the investigation by USIS and a statement of your rights. To receive this information or to inspect any files concerning such a report or to determine if a report on you has been requested, you may contact USIS by mail at 4500 S. 129th East Avenue, Suite 200, Tulsa, Oklahoma 74153, by phone at (800) 331-9175 or by fax at (918) 627-6162.

If any adverse decision with regard to your application for employment with the Company or, if you are hired, during the cours of your employment, is based in whole or part on the information contained in a consumer report or an investigative consumer report, you will be notified as to the basis for the decision and given a copy of the report, as well as a summary of your applicable rights.

CONSENT TO CONSUMER REPORTS AND INVESTIGATIVE CONSUMER REPORTS

I have carefully read and understand the Notice Concerning Consumer Reports and Investigative Consumer Reports and this Consent to Consumer Reports and Investigative Consumer Reports (“Consent”) and, by my signature below, I authorize USIS to release consumer reports and/or investigative consumer reports, as described above, to the Company: (1) in conjunction with my application for employment and (2) during the entire course of my employment. I further understand that any and all information contained in my job application or otherwise disclosed to the Company by me before or during my employment may be utilized for the purpose of obtaining the consumer reports or investigative consumer reports requested by the Company, and I confirm that all such information provided in connection with my job application is true and correct. I also agree that a facsimile, photocopy or electronic copy of this form may be used in lieu of the original.

I also authorize the following entities to disclose to USIS and its agents all information about or concerning me, including, but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; all other private and public sector repositories of information; and, any other person, organization or agency with any information about or concerning me. The information that can be disclosed to USIS and its agents includes, but is not limited to, information concerning my employment history, earnings history, education, credit history, motor vehicle history, criminal history, drug test results, military service, professional credentials, and all other information requested by USIS or its agents.

NOTICE TO WASHINGTON STATE APPLICANTS OR EMPLOYEES

If you submit a request in writing to USIS within a reasonable amount of time after you review and sign this document, you have a right to obtain from USIS complete and accurate disclosure of the nature and scope of the consumer report ordered and the right to ask USIS for a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.

NOTICE TO WASHINGTON STATE APPLICANTS OR EMPLOYEES

If you submit a request in writing to USIS within a reasonable amount of time after you review and sign this document, you have a right to obtain from USIS complete and accurate disclosure of the nature and scope of the consumer report ordered and the right to ask USIS for a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.

 

, 20

Name of Applicant (Print)

Date

Applicant or Employee Signature

Social Security Number

Street Address

 

City, State and ZIP Code

 

1/2008

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