MALONE'S FOOD STORES, LLC
Employment Application
Thank you for your interest in working with us.
You must be 16 years old to apply for a job at Malone's.
You must be 18 years old to apply for a job in the Meat Market.
Email
Name
Phone
Address
Which store location are you applying for?
7007 Lake June Rd.
323 Golden Triangle (Polk Street)
333 South Saint Augustine
What position are you applying for?
Sacker
Checker
Stocker
Cash Office
Meat Market
Produce
Management
Sacker
Available start date
MM
/
DD
/
YYYY
Indicate Shift or Schedule Preference
Days
Evenings
Nights
Are you willing and able to work weekends?
Yes
No
Are you willing and able to work holidays?
Yes
No
Are you willing and able to work rotation?
Yes
No
Are you a citizen of the United States?
Yes
No
If you are not a citizen of the United States, are you authorized to work in the United States?
Yes
No
Have you ever worked for this company?
Yes
No
If you have worked for this company, when?
Have you ever been convicted of a felony?
Yes
No
If you have been convicted of a felony, explain.
What are your reasons or goals for seeking the position you have indicated?
Would you be willing to work on an "as needed, on call" basis?
Yes
No
Do you have responsibilities that would limit your availability to work?
Yes
No
If you answered yes to the above question, please explain:
Do you have your own reliable transportation?
Yes
No
Will you abide by the safety rules of this company?
Yes
No
Education
High School
Did you graduate?
Yes
No
College
Did you graduate?
Yes
No
If you have a degree, what is it?
References - Please list 3
Name
Phone
Address
Relationship
Name
Phone
Address
Relationship
Name
Phone
Address
Relationship
Previous Employment
Are you currently employed?
Yes
No
Company
Phone Number
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Employed From
MM
/
DD
/
YYYY
Employed To
MM
/
DD
/
YYYY
Reason for leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone Number
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Employed From
MM
/
DD
/
YYYY
Employed To
MM
/
DD
/
YYYY
Reason for leaving
May we contact your previous supervisor for a reference?
Yes
No
Please explain all periods of unemployment
Use this space to give us other information about your personal skills or qualities, work style, interpersonal ability, or communication skill which would assist us in placing you in a position at Malone's Food Stores.
Disclaimer and Signatures
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I hereby authorize any inquiry to be made on any information contained in this application if I am considered for employment.
I understand that operating conditions may require me to temporarily work shifts other than the one for which I am applying, and I agree to such scheduling changes as directed by my supervisor or the management. I understand that working conditions, benefits, and operating policies can change at any time with or without notice.
I further understand that I may be required to take a drug and alcohol test as a condition of employment and that a positive result will withdraw the employment offer, and I will not work for Malone's Food Stores.
I also understand that if hired at Malone's Food Stores, my employment will be "at-will", which means I may be terminated at any time and for any reason, with our without advance notice. I understand that as an employee I am also free to quit at any time and that any employment relationship other that "at-will" must be set out in writing or signed by a Company Officer such as Malone's Food Stores, LLC's President or CEO.
Clear
Agreement to Arbitrate
Malone's Food Stores, LLC and I agree to submit any
controversy or claim arising out of or relating to my hiring, employment, benefits, and/or separation of employment or any occupational or on-the-job injury/illness to, and resolved exclusively by, final and binding Arbitration under the Federal Arbitration Act to be administered by Benchmark Arbitration Services or other mutually agreed to arbitrator, pursuant to the Federal Arbitration Act National Rules for the Resolution of Employment Disputes. The standard of review to be applied to the Arbitrator's findings of fact and conclusions of Law will be the same as the standard applied by an appellate court reviewing a decision resulting from a bench trial.
Clear
Date of Signatures
MM
/
DD
/
YYYY
First / Last name
Email address
APPLY FOR THE JOB
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