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.
Question | Answer |
---|---|
Form Name | Weis Employment Application |
Form Length | 3 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 45 sec |
Other names | any weis markets, weis market application, weis job application, weis job markets |
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
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
|
|
|
|
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 |
|
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 |
|
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) |
|
|
|