Square One Markets, Inc.
Application for Employment
Thank you for your interest in employment with Square One Markets Inc. Please take some time to fill out this application completely. If a question does not apply to you, please enter NA.
* Required Fields
Personal Information
* Last Name: * First Name: Middle Initial: * Street Address: * Telephone Number (Include Area Code): * City: * State: * Zip Code: * Are you 18 years of age or older and legally eligible to work in the United States? Are you willing to work overtime? Full Time/Part Time? Position Desired: Rate of Pay Desired: Are you currently employed? If yes, what is your current position? May we contact your present supervisor? If yes, please provide name and telephone number (Include Area Code): Name: Phone: How soon will you be available to work? * Do you have a valid driver's license? * Locations Desired: (Check all that apply) Easton Bethlehem Schnecksville Northampton Stroudsburg Hamburg Albrightsville Lehighton Wind Gap Tobacco Express, Easton What skills or qualifications do you possess that would benefit the position you are applying for? Have you or any friend or family member ever worked for Square One Markets Inc. before? If YES, please describe: This position requires long hours of standing, some lifting, and working in a cooler/freezer. Do you have any special needs or physical limitations that prevent you from performing these tasks? Please describe: * Have you ever been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify an applicant from employment): Availability
Please provide us with your availability to work. Indicate hours and days of the week or leave blank. Hours
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday Start End Education
* High School Did you graduate? Receive GED? Number of years attended: College Did you graduate? Type of Degree? Number of years attended: Other Education Did you graduate? Type of Degree or Certificate? Number of years attended: Employment History
Please list your last three employers, starting with the most recent or present. Check here if this is your first job. * Employer: * Position Held and work performed: * Address/Location: * City: * State: * Zip Code: * Start Date: * End Date: * Starting Pay: * Ending Pay: * Telephone Number: (Include Area Code) * Full time/Part Time: * Supervisor: * Reason for Leaving: Repeat above employer details for the second and third jobs as necessary. References
Please provide 3 individuals (not relatives) you have known for at least 2 years: * Name: * Address: * Telephone: * Relationship: * Name: * Address: * Telephone: * Relationship: * Name: * Address: * Telephone: * Relationship: Emergency Contact
Please provide a person to contact in case of emergency: * Name: * Telephone: * Relationship: Questions for Employment
Answer the following questions: You are working as a cashier when a friend who shops at the store wants to buy items but doesn't have enough money. They ask to pay later. What do you do? The previous shift didn't clean the bathrooms. A customer reports that the bathroom is unclean. What do you do? A customer pays $11.72 for items with a $100 bill. How much change do you give? A customer is angry about prepaying for gas. How do you handle it? A customer asks for cigarettes and appears about 21 years old. What do you do? Certification
* I certify that I have read and completed this application truthfully. I understand that falsification may lead to refusal or dismissal. I authorize Square One Markets Inc. to conduct interviews and tests as needed. I understand employment is probationary for 30 days or longer, and employment can be terminated at any time. Please enter your full name and date: * Full Name: * Date: To receive an email copy of your application, enter a valid email address below.
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* Last Name: * First Name: Middle Initial: * Street Address: * Telephone Number (Include Area Code): * City: * State: * Zip Code: * Are you 18 years of age or older and legally eligible to work in the United States? Are you willing to work overtime? Full Time/Part Time? Position Desired: Rate of Pay Desired: Are you currently employed? If yes, what is your current position? May we contact your present supervisor? If yes, please provide name and telephone number (Include Area Code): Name: Phone: How soon will you be available to work? * Do you have a valid driver's license? * Locations Desired: (Check all that apply) Easton Bethlehem Schnecksville Northampton Stroudsburg Hamburg Albrightsville Lehighton Wind Gap Tobacco Express, Easton What skills or qualifications do you possess that would benefit the position you are applying for? Have you or any friend or family member ever worked for Square One Markets Inc. before? If YES, please describe: This position requires long hours of standing, some lifting, and working in a cooler/freezer. Do you have any special needs or physical limitations that prevent you from performing these tasks? Please describe: * Have you ever been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify an applicant from employment): Availability
Please provide us with your availability to work. Indicate hours and days of the week or leave blank. Hours
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday Start End Education
* High School Did you graduate? Receive GED? Number of years attended: College Did you graduate? Type of Degree? Number of years attended: Other Education Did you graduate? Type of Degree or Certificate? Number of years attended: Employment History
Please list your last three employers, starting with the most recent or present. Check here if this is your first job. * Employer: * Position Held and work performed: * Address/Location: * City: * State: * Zip Code: * Start Date: * End Date: * Starting Pay: * Ending Pay: * Telephone Number: (Include Area Code) * Full time/Part Time: * Supervisor: * Reason for Leaving: Repeat above employer details for the second and third jobs as necessary. References
Please provide 3 individuals (not relatives) you have known for at least 2 years: * Name: * Address: * Telephone: * Relationship: * Name: * Address: * Telephone: * Relationship: * Name: * Address: * Telephone: * Relationship: Emergency Contact
Please provide a person to contact in case of emergency: * Name: * Telephone: * Relationship: Questions for Employment
Answer the following questions: You are working as a cashier when a friend who shops at the store wants to buy items but doesn't have enough money. They ask to pay later. What do you do? The previous shift didn't clean the bathrooms. A customer reports that the bathroom is unclean. What do you do? A customer pays $11.72 for items with a $100 bill. How much change do you give? A customer is angry about prepaying for gas. How do you handle it? A customer asks for cigarettes and appears about 21 years old. What do you do? Certification
* I certify that I have read and completed this application truthfully. I understand that falsification may lead to refusal or dismissal. I authorize Square One Markets Inc. to conduct interviews and tests as needed. I understand employment is probationary for 30 days or longer, and employment can be terminated at any time. Please enter your full name and date: * Full Name: * Date: To receive an email copy of your application, enter a valid email address below.
#J-18808-Ljbffr