Online Application For Employment Form - Page 1 of 4
Email Address Confirm Email
Present Address Phone No.
Permanent Address Phone No.
Are you a U.S Citizen?    
Referred By Store Sign Staff Worker Craig's List Other
Position Date you can start
For all following questions with a yes or no, please select one, and answer fully if applicable.
Are you presently employed?
If yes, please specify
If so, may we inquire of your present employer?
Name / Phone No.
We only hire for 5 shifts per week. If there are times when you are not available, please list them.
Have you ever been employed in a (a) retail store? (b) restaurant/deli? (c) bakery?
If yes, please specify
Do you have experience in working a cash register?
If yes, please specify where, how long
If applying for the deli, have you any food service experience?
If yes, please specify
How many different jobs have you had in the past five years?
Which of your past jobs did you like the best?
Have you ever received any promotions or merit raises?
Please explain