Personal Information

Applicant Name (First & Last)*

Are you over 18?*

Yes
No

Are you over 21?*

Yes
No

Are you legally authorized to work in the United States on a full-time basis?*

Yes
No

How did you hear about us?*

Position for which you are applying.*

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Employment Information

Hours Apply For*

Part Time
Full Time

Date Available to Start*

What is your availability?

Employment at Sol Foods requires the following list of physical activities to be done while working: lifting up to 50 pounds, carrying boxes from the back to the front of the store, stocking shelves (may require a lot of reaching), sweeping, and mopping.

Can you perform all of the above job functions?*

Yes
No

Previous Employers

Please list the Company Name, address, telephone number, and supervisor, dates of employment and reason for leaving. Make sure to fill out all of this information completely.

Last Employer

Last Company Name*

Last Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Last Employer Telephone*

Last Employer Supervisor*

Dates of Last Employment (From – To)*

Reason for Leaving Last Employment*

Prior Employer

Prior Company Name*

Prior Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Prior Employer Telephone*

Prior Employer Supervisor*

Dates of Prior Employment (From – To)

Reason for Leaving Prior Employment*

References

Please list two personal references not related to you that you have known for at least one year.

First Reference

Reference Name (First & Last)*

Reference Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference Years Known*

Less Than 1 Year
1 to 3 Years
3 to 5 Years
5+ Years

Reference Telephone*

Second Reference

Reference Name*

Reference Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference Years Known*

Less Than 1 Year
1 to 3 Years
3 to 5 Years
5+ Years

Reference Telephone*

Education

High School Years Attended*

Did you graduate from High School?*

Yes
No

College Attended*

Did you graduate from college?*

Yes
No

Other experience, skills or foreign language that is relevant to the position you have applied for

What do you think are some of your strengths?*

Additional Comments

Authorization

I hereby grant Sol Foods my permission to check past references and employers as listed above*

Yes
No

Sol Foods Supermarket, Deli and Hardware

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