Name Regarding Store* Select Select Date * Full Name * Current Address * Previous Address * Phone * Best time to call * Position(s) desired * Rate of pay desired * Date available * Applying for * Desired weekly schedule * Sunday Monday Tuesday Wednesday Thursday Friday Saturday Desired daily hours (ex: 8am - 5pm, etc.) * If you are under 18 years of age, can you provide required proof of your eligibility to work? * Yes No Have you been convicted of a felony within the last 7 years? * Yes No If so, what for? How were you referred to us? Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? * Yes No Name and address of high school you attended Number of years completed Did you graduate? Yes No Course of study or major Name and address of colleges you've attended Number of years completed Did you graduate? Yes No Course of study or major Name and address of vocational or trade schools you've attended Number of years completed Did you graduate? Yes No Course of study or major Describe any other credentials or special skills you may have Have you ever served in the Armed Forces of the United States? * Yes No If so which branch? State duties or specialized training Name, Address and Phone of Previous Employer 1 Position held Rate of pay Reason for leaving Supervisor Name, Address and Phone of Previous Employer 2 Position held Rate of pay Reason for leaving Supervisor Name, Address and Phone of Previous Employer 3 Position held Rate of pay Reason for leaving Supervisor Name and address of reference 1 * Occupation * Phone * Name and address of reference 2 * Occupation * Phone * Do you like to cook? Yes No What is your favorite food/meal? What motivates you? What are your hobbies and interests? Explain what great customer service means to you. Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? * Yes No I understand by submitting this form, I agree to ALL Terms & Conditions below * I AGREE Terms & Conditions I understand that to be employed I must be lawfully authorized to work in the United States and I must show employer the documents that will provide this. I hereby certify and affirm that the information provided in connection with the application process is true, accurate and complete, and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I hereby authorize Reid Super-Save Market to investigate all information pertinent to my application for employment to determine my qualifications for employment, which may include contacting former or current employers or any other person or entity. I hereby authorize all persons and entities having information relevant to my application to provide that information to Reid Super-Save Market.