Super Bear IGA Employment Application

WE ARE A COMPLETE DRUG FREE WORKPLACE

1. We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or military status, the presence of a non-job-related medical condition or disability, or any other legally protected status. We comply with all applicable laws governing employment practices, and we do not discriminate on the basis of any unlawful criteria.

2. This application will be considered current for only 30 days from the date of completion.

3. All questions must be answered for the application to be considered. If not applicable, please indicate with N/A.

    Personal Information

    Your Name (required)

    Phone Number (required)

    Your Email (required)

    Street Address

    City

    State / Province / Region

    Postal / Zip Code

    Select Country

    Referred by

    Position(s) applying for

    Wage expected:

    Date you can start:

    Do you now or have you ever had a relative (includes in-laws) that worked for Super Bear IGA? If yes, please list their name(s) and location(s):
    YesNo

    If yes, please list the person's name(s) and location(s)

    Educational Experience

    High School:

    College or University:

    Type of Degree(s) and Major Course(s) of Study:

    Any additional educational experience relevant to the position for which you are applying:

    Work Experience

    Company Name

    Phone Number

    Street Address

    City

    State / Province / Region

    Postal / Zip Code

    Select Country

    Start/End Date

    Salary

    Reason for Leaving

    Company Name

    Phone Number

    Street Address

    City

    State / Province / Region

    Postal / Zip Code

    Select Country

    Start/End Date

    Salary

    Reason for Leaving

    Company Name

    Phone Number

    Street Address

    City

    State / Province / Region

    Postal / Zip Code

    Select Country

    Start/End Date

    Salary

    Reason for Leaving

    How many jobs have you had in the last 5 years not listed above:

    Please indicate the job duties you have performed which relate to the position for which you are applying:

    Are you eligible for employment in the United States?
    YesNo

    Additional Notes:

    Days Available for Work
    MondayTuesdayWednesdayThursdayFridaySaturdaySunday

    Other:

    Hours Available for Work:

    Personal References

    Name (first and last):

    Phone Number

    Address:

    Name (first and last):

    Phone Number

    Address:

    Resume Upload



    Agreement

    Before signing the application, please check all the information on it to make sure it is correct and complete. If you need additional room to enter information, please enter it on a separate sheet and attach it to this application.

    The information above is true and correct. I understand the employers and persons listed in this application may also be contacted for verification and references. I authorize the verification of the information I have provided. I further understand that any falsification, misrepresentation or omissions may be grounds for termination of my employment with this company at any time.

    I understand the acceptance of this application and any other pre- employment processing by the company does not signify that a job opening exists and in no way is an offer of employment or a commitment of any kind by this company.

    AgreeDo Not Agree

    Name (first and last):

    Date