Acme Fresh Market Catering and Event Planning

High School

Did You Graduate? Yes No

College

Field of Study

Years of College

Did You Graduate? Yes No

Degree or Diploma

Employer 1

Company

Company Address

Company Phone

Supervisor

Job Title

Hourly Pay

From Date

To Date

Reason For Leaving

Employer 2

Company

Company Address

Company Phone

Supervisor

Job Title

Hourly Pay

From Date

To Date

Reason For Leaving

Employer 3

Company

Company Address

Company Phone

Supervisor

Job Title

Hourly Pay

From Date

To Date

Reason For Leaving

Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed by a court? Yes No *

If YES, please describe in full below:

Do you have relatives currently working for us? Yes No *

If YES, please describe in full below:

Will you be working elsewhere while working for us? Yes No *

If Yes, please state where and what position

Conditions of Employment

The Fred W. Albrecht Grocery Company sets high standards for its accociates. Compliance with these standards is a condition of employment. You need to carefully consider what will be required before accepting a position with us. As an associate, you will be expected to comply in full. You need to know and understand that The Fred W. Albrecht Grocery Company will require the following:

Customer Service

Always wear a smile.
Always be friendly to our customers.
Always make the customer feel welcome.
Always treat the customer with respect.
Always thank the customer for shopping with us.

Personal Appearance

Maintain Acme standards for grooming.
Maintain Acme standard Dress Code.
Wear your Acme name badge at all times.

Attendance/Punctuality

Always report to work when you are scheduled.
Always be on time.
If you are ill, always call the store at least 4 hours prior to start of shift.

Will you be able to comply with all of the requirements listed? *

Please Read Carefully Before Signing

I certify that the statements made on this application are true and complete and I understand that any false or misleading statements on my application or during my interview are grounds for dismissal. I voluntarily give the Fred W. Albrecht Grocery Company permission to investigate my past employment and background and agree to cooperate in such investigation and release all persons and organizations supplying such information from any liability.

If hired, I agree to comply with the rules and regulations of the Company and understand that no representative of the Company other than the President has the authority to enter into an agreement for employment with me and that any such agreement must be in writing and property signed to be valid. I understand that i may be required to submit to a physical examination and/or drug screening.

Yes, I Agree

Your Signature

Equal Opportunity Employer Information

The Fred W. Albrecht Grocery Company is an equal Opportunity Employer committed to a diverse work force. To that end, we invite you to voluntarily provide responses to the following requests for information. Your answers - or your failure to answer - will not affect your chances for being offered employment. This form will be kept strictly confidential and will not be retained with your application. The information provided will only be for equal opportunity purposes and record keeping.

Name

Date

Sex Male Female

Race/Color/National Origin

If "Other", Please specify

Applicants will be considered without regard to race, creed, sex, age, national origin, handicap, or veteran status. This application will remain active for 60 days.