Welcome to Paradis Shop 'n Save Supermarkets Application of Employment (New) Application of Employment (New) Specify Location You are Applying For: Fort Kent Madawaska Brewer Position Desired Date of Application: On What Date Would you be available to start work? Are you willing and available to work: Full Time Part Time Temporary Personal Last: First: Middle: Phone #: Email: Street: City: State: Zip Code: Previous Address (for at least the last 5 years) Address Remove Add Are you at least 18 year old? Yes No Are you younger than 16? Yes No Do you have a work certificate (from school)? Yes No Have you been convicted of a crime in the last 5 years? Yes No (Do not include misdemeanors or traffic violations) If Yes, Please Explain: Have you ever been disciplined, suspended, discharged, or asked to resign from a job in connection with a loss of money, merchandise, or equipment? Yes No If Yes, Please Explain: Have you ever been disciplined or discharged for absenteeism or tardiness? Yes No If Yes, Please Explain: How were you referred to us? Do you have a dependable means of transportation? Yes No Employment Are you currently employed? Yes No Layoff Temporary Permanent Employment History Current or Last Employer Company: Address: Telephone: Position: Supervisor Name: Date From: Date To: Rate of Pay: Duties Reason for Leaving: Previous Employers Employment 1 Company: Address: Telephone: Position: Supervisor Name: Date From: Date To: Rate of Pay: Duties Reason for Leaving: Employment 2 Company: Address: Telephone: Position: Supervisor Name: Date From: Date To: Rate of Pay: Duties Reason for Leaving: May we contact all the employees listed above? Yes No If not, which ones should we not contact and why? Educational Background High School Name Address: Course of Major Graduated? Yes No College School Name Address: Course of Major Graduated? Yes No Other School Attended Address: Course of Major Graduated? Yes No Please summarize any additional information necessary to describe your full qualifications. Fact Sheet Instructions: Please respond thoroughly to the following questions regarding your availability. This will permit your application to be processed more accurately and quickly. If you have any questions please ask the Personnel Coordinator or Store Manager, Thank you for your interest in employment with Paradis Shop n Save. Name Phone numbers where we may reach you Daytime Phone Number Evening Phone Number As we are a store that operated 24 hours per day, it is important that we clearly understand what days and times during each day (or night) that you are available to work. For each day below, write in the hours or times that you are available. Remember to indicate the absolute earliest time to the time that you can work each day. If you are unavailable on a particular day, write in " Not Available" It is important to understand that we work in a retail environment where much of our business is done during afternoons and on weekends. Sunday Monday Tuesday Wednesday Thursday Friday Saturday What is the minimum number of hours you can work per week? What is the maximum number of hours you can work per week? ( These indicate your requested hours but are not guaranteed. ) From the following list, please check off the positions in which you are interested Bagger Cashier Grocery Associate Bookkeeping / Service Center Associate Seafood Associate Bakery Associate Deli Associate Produce Associate Meat Associate Meat Cutter Other
