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Super A Foods Online Application

AN EQUAL OPPORTUNITY EMPLOYER

Super A Foods policy is to provide employment, training, compensation, promotion, and other conditions of employment without regard to race, color, religion, sexual orientation, national origin, sex, age, disability or veteran status. Applicants must reapply at least once every two months to remain under consideration for employment.

* You are not required to enter your social security number on this application but you will need to bring it in the event of an interview.

All fields with * must be filled out.

First Name * Last Name *
Address* City*
State* Zip*
Phone* Alternative Phone*
Email*
Store applying to*
Desired position(s) *
Are you 18 or older *
If under 18, what is your age?
Are you either a U.S. citizen or authorized to work in the United States?
Have you previously been employed with Super A Foods? *
If so, where?
If so, when?
If so, position held?
If so, reason for leaving?
LIST THE NAMES OF RELATIVES EMPLOYED BY Super A Foods, RELATIONSHIP AND THEIR WORK LOCATIONS
Have you ever been fired from a job?*
If so, explain
Were you given the opportunity to resign rather than be fired?*
 
Date Available
Total Hours Available Per Week
 
Education
Name and address of Schools Attended
Year Last Attended
Highest Grade/Level completed
Languages Spoken*
 
Employment History
List 4 most recent jobs. Start with your present or last job. Also include any periods of unemployment, military service, and volunteer and/or part-time work experience.  
  DATES EMPLOYER POSITION REASON FOR LEAVING
1
2
3
4
May we contact your previous employer? *
 
References Professional/Personal References (3 Minimum) Name, Phone Number, Address & Relation
  NAME PHONE NUMBER ADDRESS RELATION
1
2
3
4
READ THE FOLLOWING CAREFULLY THEN SUBMIT THE APPLICATION  
I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by Super A Foods unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom Super A Foods contacts, to provide Super A Foods any and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to Super A Foods as well as from any use or disclosure of such information by Super A Foods or any of its agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my immediate dismissal from employment.

In consideration of my employment, I agree to conform to the rules and standards of Super A Foods. I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of Super A Foods. I understand that no employee or representative of Super A Foods, other than the President of Super A Foods, has the authority to enter into any agreement for employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing. Further, the President of Super A Foods may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specified time unless the President of Super A Foods and I both sign a written agreement that clearly and expressly specifies the intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there are no oral, written or collateral agreements regarding this issue.

I understand that all offers of employment are conditioned on satisfactory proof of my identity that I am of legal age and that I have legal authorization to work in the United States, as well as the company's receipt of satisfactory responses to reference requests, my passing any required drug screening test, and completion of post offer medical examination, if applicable.