The Superior Grocers Application for Employment form plays a crucial role in the hiring process, serving as the first step for potential employees to express their interest in joining the team at Superior Grocers, a company renowned for its commitment to creating equal opportunity employment without discrimination based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by law. Crafted to gather essential details from applicants, this form meticulously collects personal information, availability, job preference, and legal eligibility for work within the United States. Acknowledging the dynamic nature of retail, it necessitates applicants’ flexibility regarding tasks, work schedules, including weekends and holidays, and adaptability to work across different locations as needed. The application emphasizes transparency and honesty, asking for disclosures regarding previous applications or employments with Superior, legal convictions excluding certain marijuana-related offenses, and the presence of any relatives working within the company. Educational background, employment history, and a segment dedicated to skills and qualifications pertinent to the desired position are integral components, ensuring a comprehensive review process for the hiring team. Acknowledgment sections within the form require the applicant's confirmation of the accuracy of the information provided and consent for Superior Grocers to perform reference and employment eligibility checks, emphasizing the importance of integrity throughout the hiring process. In conclusion, by signing the application, the candidate agrees to the terms outlined, including adherence to Superior’s standards and acknowledging the at-will employment agreement, setting a foundation for potential employment grounded on mutual expectations and professional conduct.
| Question | Answer |
|---|---|
| Form Name | Superior Grocers Application For Employment Form |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 69 |
| Avg. time to fill out | 14 min 18 sec |
| Other names | Palmdale, big saver app, Montebello, Vermont |
Date: _______________
APPLICATION FOR EMPLOYMENT
Superior Grocers (‘Superior’) is an Equal Opportunity Employer. Superior does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable state or federal laws. All applications received by Superior will only remain active until the end of each calendar year.
On January 1st of each calendar year, all applications will be put in an inactive file. If you still wish to be considered for employment after the
above date, you will need to fill out a new application.
APPLICANT INFORMATION
First & Last Name: _____________________________________ Home No: ____________________________ Cell No: _______________________
Address: _______________________________________________________________________________________________________________________
Position Applied For: ____________________________________ ____ Full Time ____Part Time
My initials after each statement indicates my acceptance of the following:
I am flexible and may be assigned tasks outside of my job description.
I will be working mornings, afternoons, nights, weekends and holidays.
I may be required to work at different locations if Superior deems it necessary.
____Graveyard Desired Wage: ________
Initials
Please circle response:
Do you have the legal right to work in the United States?
(Proof of identity and employment eligibility will be required as a condition of Yes No employment)
Have you previously applied for employment with Superior? Have you ever worked for Superior before?
Have you ever used any aliases or other names?
Are you 18 years of age or older?
(Proof of age and work permits may be required prior to hiring)
Do any of your relatives work for Superior?
Are you able to perform the essential functions of the position for which you are applying for, either with or without accommodations?
If requested would you perform duties outside of your job description?
Have you been convicted of a crime (felony or misdemeanor)?
Please exclude marijuana related convictions which are over 2 years old. Convictions that have been sealed expounded or legally eradicated and misdemeanor or convictions for which probation was successfully completed or otherwise discharged and the case was judicially discussed. A conviction is not an automatic bar to employment. Each case will be considered on its own merits.
Yes No
Yes No
Yes No
Yes No
Yes No Yes No
Yes No
Yes No
If yes, what dates? _____________________________
If yes, when? _________________________________
If yes, provide name (s): ________________________
_____________________________________________
If yes, provide names: __________________________
If no, please explain: ____________________________
If yes, please explain: ___________________________
_____________________________________________
EDUCATION
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NAME AND LOCATION |
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YEARS COMPLETED |
GRADUATED? |
DEGREE/DIPLOMA |
GPA |
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HIGH SCHOOL |
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COLLEGE |
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OTHER |
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OFFICE USE ONLY |
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Hiring Store: # |
Date Sent to Clinic: |
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SS #: |
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Position/Title: |
Pay Rate: $ |
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Store Admin Clerk Name: |
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Interviewer Name: |
(Rate above base pay MUST have DM approval) |
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EMPLOYMENT HISTORY
DATE DATE BEGAN ENDED
NAME OF COMPANY, ADDRESS, PHONE #
AND NAME OF SUPERVISOR
POSITION HELD/
SALARY
REASON FOR
LEAVING
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SUPERVISOR/TITLE |
MAY WE CONTACT? |
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____YES |
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EMPLOYER |
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SUPERVISOR/TITLE |
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EMPLOYER |
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SUPERVISOR/TITLE |
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Please explain any gaps or overlap in employment.
How were you referred to our company?
Please list other skills, education, training, etc that is directly related to the position for which you are applying.
At what locations would you be able to work? (Please circle as many as possible.)
#101 - Avalon & 103rd, Los Angeles |
#123 - South Crenshaw Blvd & Imperial, Inglewood |
#110 - 17th & Cabrillo, Santa Ana |
#102 - Compton & Florence, Los Angeles |
#124 - Hoover St & 32nd St (USC Village), Los Angeles |
#132 - 1st & N Townsend St, Santa Ana |
#103 - Martine Luther King Jr Blvd & Bullis Rd, Lynwood |
#128 - Ramona Blvd & Maine Ave, Baldwin Park |
#115 - Citrus & Arrow Hwy, Covina |
#104 - Durfee & Rush, South El Monte |
#129 - W Avenue 45 & N Figueroa St, Los Angeles |
#120 - Holt & Mountain, Ontario |
#105 - Atlantic & Florence, Cudahy |
#131 - Whittier & Rosemead Blvd, Pico Rivera |
#121 - West Baseline Ave & Riverside, Rialto |
#106 - Whittier & Montebello, Montebello |
#135 - S Central Ave & 20th St, Los Angeles |
#122 - Foothill Blvd & Citrus Ave, Fontana |
#107 - Pacific & Slauson, Huntington Park |
#136 - Knott & La Palma Ave, Buena Park |
#125 - Central Ave & Walnut Ave, Chino |
#108 - Western & 88th, Los Angeles |
#111 - Laurel Canyon & Osborne, Pacoima |
#126 - W Sixth St & Lincoln, Corona |
#112 - Compton & Willowbrook, Compton |
#118 - Lankershim & Erwin, North Hollywood |
#127 - Sunnymead & Heacock St, Moreno Valley |
#113 - Cesar Chavez & Rowan, Los Angeles |
#133 - E Avenue J & Challenger Way, Lancaster |
#130 - W 2nd St & N K St, San Bernardino |
#114 - Valley & Hacienda, City of Industry |
#134 - White Lane & South H St, Bakersfield |
#139 |
#116 - Slauson & Vermont, Los Angeles |
#137 - 20th Street E & Palmdale Blvd, Palmdale |
#140 - Lakewood Blvd & Alondra Blvd, Bellflower |
#117 - Long Beach & 10th, Long Beach |
#138 - Saviers Rd & E Laurel St, Oxnard |
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#119 - Cherry & South, Long Beach |
#109 - Main & Berkely, Santa Ana |
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READ THE FOLLOWING CAREFULLY, THEN SIGN AND DATE THE APPLICATION
I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by Superior unless I have indicated to the contrary. I authorize the references listed to provide Superior any and all information concerning my previous employment and any pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to Superior as well as from any use or disclosure of such information by Superior or any of its agents, employees, or representatives. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, in my immediate dismissal from employment.
In consideration of my employment, I agree to conform to Superior’s rules and standards, as amended from time to time in Superior’s sole discretion. I further agree that my employment and compensation may be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at Superior’s option. I understand that no employee or representative of Superior, other than Superior’s president, has any authority to enter into any agreement for employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing. Further, Superior’s president may not alter the
the employment relationship or enter into any employment agreement for a specified time unless the president and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the
I understand that Superior is committed to promoting safety and high standards of employee performance, productivity and reliability. In order to achieve this, all offers of employment are contingent upon successful completion of a drug test. I further understand that during my employment with Superior, my supervisor or any other manager may require, as a term and condition of continued employment, that I submit to a drug test if the supervisor or manager has a reasonable suspicion that I am under the influence of any substance that might result in harm to myself or to others.
I also understand that all offers of employment are conditioned on Superior’s receipt of satisfactory responses to reference requests and the provision of satisfactory proof of my identity and legal authority to work in the United States.
_____________________________________________________________ |
_______________ |
APPLICANT SIGNATURE |
DATE |
Note: No consideration of employment will be given to any applicant that does not sign the above statement.