Weis Employment Application PDF Details

When looking for a job, it is important to have all of the necessary documents ready. The Weis Employment Application Form is one such document that potential employees may need to complete. This form can be found on the company website and is used to determine if an individual meets the basic qualifications for a position with Weis. The form itself is fairly straightforward and asks for information such as name, address, education, experience, and references. Completing the form accurately will help ensure that you are considered for any open positions at Weis.

Here is the information relating to the file you were seeking to complete. It can tell you how much time it takes to fill out weis employment application, exactly what fields you will have to fill in, and so on.

QuestionAnswer
Form NameWeis Employment Application
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesany weis markets, weis market application, weis job application, weis job markets

Form Preview Example

weis Application for Employment

Weis Markets is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of actual or perceived age, sex, sexual orientation, race, color, creed, religion, familial status, ethnicity, national origin, alienage or citizenship, disability, marital status, military or veteran status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. Applicants with a disability may be entitled to reasonable accomodation under terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accomodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Weis Markets. Please inform a Company representative if you need assistance completing any forms or to otherwise participate in the application process.

This application will remain active for 60 days, after 60 days, you must reapply for further consideration.

 

PLEASE PRINT CLEARLY

 

DATE ______________________

 

(USE PEN ONLY)

 

 

 

 

 

 

 

PERSONAL DATA

 

 

NAME_____________________________________________________________________________________________________

last

first

 

middle initial

ADDRESS__________________________________________________________________________________________________

street

city

state

zip

TELEPHONE ( ________ )___________________________ SOCIAL SECURITY NO.__________________________________

area code

number

 

 

Are you under the age of 18? YES

NO

If yes, please state your age_____________________

Are you legally authorized to work in the United States? YES

(If hired, verification will be required consistent with federal law)

NO

Have you ever been convicted of a felony which has not been expunged or sealed by a court? YES

NO RECORD

You should answer “no record” if a conviction has been sealed or expunged or otherwise statutorily eradicated. If you checked yes, please explain below. If more space is required, please use seperate sheet. A criminal conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

How were you referred to us? Advertisement

Weis employee

Walked in

School

Employment Agency

State Employment Office

Other

(specify)________________________________________________

EMPLOYMENT AVAILABILITY

Position(s) applied for_______________________________________________ Date you can start____________________________

month/day/year

Wages desired? $______________per hour, or $______________per week

We are a 7-day-a-week business with emphasis on nights and weekends. Please indicate your availability below:

Full Time

Part Time

(How many hours?___________)

Days

Evenings

Nights

Weekends

Put the specific hours (From/To) you are available for work in the boxes below. (Leave the box empty if you are not available at all that day and write “A” under any day you are “available” all that day without any scheduling restrictions.)

SUN

MON

TUE

WED

THU

FRI

SAT

From (AM/PM)

To (AM/PM)

Form #45 Revised 6-1-04

 

 

 

 

EDUCATION

 

 

Name and location of school

 

Circle highest year

Graduated

Degree/Major

 

 

 

 

completed

 

 

 

 

 

 

 

 

 

 

 

High School or GED

 

 

9

10

11

12

YES

 

NAME:

 

 

 

 

 

NO

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College or University

 

 

FR

SO

JR

SR

YES

 

NAME:

 

 

 

 

 

NO

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (Specify)

 

 

1

2

3

4

YES

 

NAME:

 

 

 

 

 

 

 

 

 

NO

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you now enrolled? YES

NO

If yes, name and location of school__________________________________

Availability during school vacations: FULL

PART

NONE

 

 

 

 

Other education, training, skills or hobbies relevant to employment consideration________________________________

___________________________________________________________________________________________________________

EMPLOYMENT HISTORY

*Beginning with the most recent employment, list the last four employers (including military service) or cover at least a seven year period, whichever is longer. Use seperate sheet if necessary.

Current or Most Recent Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*ALL employment information above must be completed in full for your application to be considered.

In the past seven years have you ever been discharged, suspended or asked to resign by an employer? YES

 

NO

If yes, give employer name, date of action, and reason _________________________________________________________________

___________________________________________________________________________________________________________

Have you ever worked for us? YES

NO

If yes, and not included above, give dates employed, position, any other name used and reason for leaving________________________

___________________________________________________________________________________________________________

May we contact your present employer at this time for a reference? YES

NO

For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any of the

organizations you have listed? YES NO

If yes, specify name _________________________________________________________________________________________

REFERENCES

List two professional references familiar with your work ability (exclude relatives)

Full Name (not related to you)

 

 

 

Full Name (not related to you)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

Street

City

State

Zip

Address

Street

City

State

Zip

 

 

 

 

 

 

 

 

 

 

 

Phone

 

Occupation

 

 

 

Phone

 

Occupation

 

 

 

 

 

 

 

 

 

 

 

How acquainted and for how long?

 

 

 

How acquainted and for how long?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

READ CAREFULLY AND SIGN

PLEASE READ THESE STATEMENTS OVER CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING AT THE BOTTOM

I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.

____________Initials

I understand, where permissible under applicable state and local law, I may be subject to a pre-employment drug test after

 

receiving a conditional offer of employment, and must receive a negative result before being permitted to commence

 

work with Weis Markets.

____________Initials

I understand, where permissible under applicable state and local law, I may be subject to a pre-employment medical

 

examination after receiving a conditional offer of employment, and must meet the qualifications for the position,

 

with or without reasonable accommodation, before being permitted to commence work with Weis Markets.

____________Initials

I hereby certify that the information given by me is true in all respects. I authorize Weis Markets and its representatives

 

to contact my prior employers and all others for the purpose of verification of the information I have supplied and

 

release same from any liability resulting from the information released. I authorize employers, schools and other

 

persons named on this application to provide any information or transcripts requested.

____________Initials

I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual

 

consent and may be terminated at will, with or without cause, by either party (the employer or me) without prior

 

notice to the other, unless otherwise prohibited by law.

____________Initials

I understand that no representation, whether oral or written, by any representative or agent of Weis Markets, at any time,

 

can constitute an implied or expressed contract of employment. I further understand no representative or agent of

 

Weis Markets, has the authority to enter into an agreement for employment for any specified period of time or to make

 

any change in any policy, procedure, benefit or other terms or condition of employment other than in a document signed

 

by the Director of Human Resources or his/her authorized representative.

____________Initials

FOR MARYLAND APPLICANTS ONLY:

Maryland lie detector law - “Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not exceeding $100.”

 

Acknowledgment of Maryland Lie Detector Law: _______________________________________________________

Date___________________

 

Maryland applicants signature required.

 

 

 

 

 

 

I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any falsification

or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time

 

lapse before discovery.

____________Initials

Note: An offer of employment is conditioned upon complying with Weis Markets’ requirements including, but not limited to signing a Consent to Conduct an Investigation.

MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS

Applicant’s signature __________________________________________________________________ Date____________________________

Click to Save to Desktop

 

Click to Email Now (Please put the Weis Location in the subject line)

 

 

 

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