TONYS FINER FOODS EMPLOYMENT APPLICATION

AN EQUAL OPPORTUNITY EMPLOYER

It is the policy of Tony's Finer Foods to recruit, hire, train, promote, transfer, compensate, and provide all other conditions of employment including Company sponsored events without regard to race, color, creed, religion, national origin, sex, age, marital status, lawful alien status, sexual orientation, physical or mental disability, citizenship status, veteran status, or any basis prohibited by law.

Please complete all requested information. Use ink and print.

General Information
Today's Date Name: Last First
Date Available for Work

POSITION DESIRED: FULL TIME ______38 HOURS PER WEEK

SALARY DESIRED: PART TIME ______LESS THAN 37 HOURS

Middle

AGE (IF YOU ARE UNDER 18 YOU MAY HAVE TO PROVIDE A WORK PERMIT BEFORE STARTING WORK)

Street Address

Apt#

ARE YOU AT LEAST 18 YRS OLD? _____ YES _____ NO ARE YOU AT LEAST 16 YRS OLD? _____ YES _____ NO

City
Telephone (Home) Email Address:

State

Zip
Telephone (Cell)
PLEASE INDICATE THE HOURS (BOTH DAY AND EVENING) YOU ARE AVAILABLE TO WORK: SUN __________________ MON ________________ TUES _________________ WED __________________

THURS________________ FRI _________________ SAT ___________________

IF YOU HAVE WORKED FOR OUR COMPANY BEFORE, STATE WHERE, WHEN, FINAL POSITION AND REASON FOR LEAVING:

NOTE: ALTHOUGH EVERY EFFORT TO ACCOMODATE INDIVIDUAL PREFERENCES WILL BE MADE, BUSINESS NEEDS MAY REQUIRE ANY OR ALL OF THE FOLLOWING: EXTENSION OF HOURS, A ROTATING WORK SCHEDULE, SATURDAY AND/OR SUNDAY HOURS, OVERTIME.

HAVE YOU EVER APPLIED TO OUR COMPANY BEFORE

_____YES

_____NO

DO YOU HAVE ANY RELATIVES EMPLOYED BY OUR COMPANY? _______ YES LOCATION:

________ NO IF YES IDENTIFY BY NAME AND

IF YES WHERE:
HAVE YOU EVER BEEN CONVICTED OF A CRIME BY A CIVILIAN OR MILITARY COURT: _______YES DISQUALIFICATION WILL DEPEND ON WETHER THE CONVICTION IS JOB RELATED. ______ NO

WORK EXPERIENCE (START WITH CURRENT EMPLOYER AND CONTINUE WITH FORMER EMPLOYERS)
EMPLOYER #1
ADDRESS STREET CITY STATE ZIP

EMPLOYER #2
ADDRESS STREET CITY STATE ZIP

PHONE: POSITION: DATES OF EMPLOYMENT: FROM:

SUPERVISOR FINAL SALARY:

TITLE
REASON FOR LEAVING

PHONE: POSITION: DATES OF EMPLOYMENT: FROM:

SUPERVISOR FINAL SALARY:

TITLE
REASON FOR LEAVING

TO :

TO :

EMPLOYER #3
ADDRESS STREET CITY STATE ZIP

EMPLOYER #4
ADDRESS STREET CITY STATE ZIP

PHONE:
POSITION: DATES OF EMPLOYMENT: FROM:

SUPERVISOR
FINAL SALARY:

TITLE
REASON FOR LEAVING

PHONE:
POSITION: DATES OF EMPLOYMENT: FROM:

SUPERVISOR
FINAL SALARY:

TITLE
REASON FOR LEAVING

TO :

TO :

PROFESSIONAL REFERENCES-LEST PERSONS FAMILIAR WITH YOUR WORK ABILITY (EXCLUDE RELATIVES)
NAME: PHONE NUMBER: HOW ACQUAINTED: HOW LONG:

NAME:

PHONE NUMBER:

HOW ACQUAINTED:

HOW LONG:

NAME:

PHONE NUMBER:

HOW ACQUAINTED:

HOW LONG:

EMERGENCY CONTACT

IN CASE OF EMERGENCY, CONTACT (NAME):

RELATIONSHIP:

(PHONE NUMBER):

PLEASE COMPLETE REMAINDER OF APPLICATION ON REVERSE SIDE ---------------------------------------------------------------------------------------------------------------------------------------------DO NOT WRITE BELOW THIS LINE
(HIRING PERSONNEL: COMPLETE THIS SECTION ONLY AFTER AN OFFER OF EMPLOYMENT IS MADE.)
JOB TITLE
DATE OF BIRTH

FT

OR

PT

STORE #

MALE OR FEMALE

START DATE

HOURLY OR SALARIED

RATE OF PAY HOURLY _________________________SALARY___________________ SIGNATURE OF HIRING INDIVIDUAL

RACE (CIRCLE ONE) WHITE - BLACK - HISPANIC- ASIAN/PACIFIC ISLAND- AMERICAN INDIAN

EDUCATION AND TRAINING

PLEASE PRINT NAME, STREET,CITY & ZIP FOR EACH SCHOOL
HIGH SCHOOL COLLEGE ADDITIONAL TRAINING NUMBER OF YEARS COMPLETED TYPE OF COURSE/MAJOR

INDICATE THE JOB SKILLS WHICH YOU HAVE PERFORMED: TYPING(______________) WPM COMPUTER SOFTWARE LIST(____________________________) OTHER ______________

ADDITIONAL INQUIRIES
HAVE YOU EVER BEEN DISMISSED OR ASKED TO RESIGN FROM ANY EMPLOYER : _______YES ________NO IF YES, PLEASE EXPLAIN :____________________________________________________________________________________________________________________________ ______________ _____________________________________________________________________________________________________________________________ ____________________________ IF EMPLOYMENT IS OFFERED, CAN YOU PROVIDE VERFICATION OF YOUR LEGAL RIGHT TO WORK IN THE U.S.?______YES________NO WHY ARE YOU INTERESTED IN WORKING FOR OUR COMPANY?_____________________________________________________________________________________________________________________________ ________________

_____________________________________________________________________________________________________________________________ ____________________________
_____________________________________________________________________________________________________________________________ ____________________________ WHAT DIDN'T YOU LIKE ABOUT YOUR PREVIOUS JOBS?_____________________________________________________________________________________________________________________________ _____________________ _____________________________________________________________________________________________________________________________ ____________________________ PROVIDE INFORMATION ABOUT COMMUNITY ACTIVITIES, PROFESSIONAL TRADE OR SERVICE ORGAIZATIONS TO WHICH YOU BELONG WHICH YOU MAY BELIEVE MAY DEMONSTRATE YOUR JOB RELATED ABILITIES( YOU MAY INCLUDE THOSE WHICH INDICATE RACE, COLOR, RELIGION, SEX , NATIONAL ORIGIN, AGE, HANDICAP.) _____________________________________________________________________________________________________________________________ _________________________________

_____________________________________________________________________________________________________________________________ _________________________________
_____________________________________________________________________________________________________________________________ _________________________________

REFERRAL SOURCE
_____________WALK-IN APPLICANT ___________AGENCY
NAME OF AGENCY

__________EMPLOYEE REFERRAL
NAME OF EMPLOYEE:

_______NEWSPAPER

_________OTHER
PLEASE LIST:

IF HIRED, I AGREE TO ABIDE BY THE RULES AND REGULATIONS OF THE COMPANY, I UNDERSTAND THAT MY EMPLOYMENT IS AT-WILL. THIS MEANS THAT I DO NOT HAVE A CONTRACT OF EMPLOYMENT FOR ANY PARTICULAR DURATION OR LIMITING THE GROUNDS FOR MY TERMINATION IN ANY WAY. I AM FREE TO RESIGN AT ANYTIME. SIMILARLY, THE COMPANY IS FREE TO TERMINATE OR CHANGE THE TERMS AND/OR CONDITIONS OF MY EMPLOYMENTAT ANYTIME FOR ANY REASON OR NO REASON. THE ONLY TIME MY AT WILL STATUS COULD BE CHANGED IS IF I WERE TO ENTER INTO A WRITTEN CONTRACT WITH THE COMPANY EXPLICITLY PROMISING ME JOB SECURITY. ALL OF THE INFORMATION I HAVE SUPPLIED IN THIS APPLICATION IS A TRUE AND COMPLETE STATEMENT OF THE FACTS, AND IF EMPLOYED, ANY OMMISSIONS OR FALSE OR MISLEADING STATEMENTS, ON THIS APPLICATION OR DURING THE INTERVIEW PROCESS COULD RESULTIN IMMEDIATE DISMISSAL REGARDLESS OF WHEN SUCH INFORMATION IS DISCOVERED. I FURTHER AUTHORIZE ALL COURTS, PROBATION DEPARTMENTS, PROSECUTOR'S OFFICES, BOARDS, EMPLOYERS, EDUCATIONAL AND CREDIT COMPANIES, OTHER INSTITUTIONS AND AGENCIES, WITHOUT EXCEPTION, TO FURNISH THE COMPANY OR ITS REPRESENTATIVES ANY INFORMATION ANY OF THEM HAVE CONCERNING ME. THIS WAIVER DOES NOT PERMIT THE RELEASE OR USE OF DISABILITY RELATED OR MEDICAL INFORMATION IN A MANNER PROHIBITED BY THE AMERICANS WITH DISABILITIES ACT (ADA) AND OTHER RELEVANT FEDERAL AND STATE LAWS. I FURTHER AUTHORIZE A CHECK BY ANY CONSUMER AGENCY OF MY EMPLOYMENT HISTORY AS WELL AS ANY INCIDENTS OF EMPLOYMENT DISHONESTY, RETAIL THEFT OR CRIMINAL ACTIVITY. I UNDERSTAND THAT MY EMPLOYMENT AND/OR RETENTION MAY BE AFFECTED IN WHOLE OR IN PART FROM A REPORT RECEIVED FROM THIS AGENCY. I HEREBY DISCHARGE AND EXONERATE THE COMPANY, ITS AGENTS AND REPRESENTATIVES, OR ANY PERSON SO FURNISHING INFORMATION, FROM ANY LIABILITY AND ALL LIABILITY OF EVERY NATURE AND KIND ARISING OUT OF THE FURNISHING, INSPECTION OR COLLECTION OF SUCH DOCUMENTS, RECORDS AND OTHER INFORMATION OR THE INVESTIGATION MADE BY THE COMPANY. A PHOTOSTATIC COPY OF THIS AUTHORIZATION WILL BE CONSIDERED AS EFFECTIVE AND VALID AS THE ORIGINAL.(WHEREVER LEGALLY REQUIRED, A COPY OF ANY CREDIT REPORT AND OTHER INFORMATION WILL BE AVAILABLE UPON MY REQUEST.)

I AGREE TO PROTECT THE COMPANY'S CONFIDENTIAL INFORMATION, TRADE SECRETS, AND OTHER PROPRIETARY INFORMATION AND WILL NOT REVEAL SUCH INFORMATION TO ANYONE AT ANYTIME DURING OR AFTER CESSATION OF MY EMPLOYMENT. I FURTHER UNDERSTAND THAT THE COMPANY WILL NOT EMPLOY PERSONS WHO USE ILLEGAL DRUGS OR ENGAGE IN SUBSTANCE ABUSE, AND THAT THE COMPANY RETAINS THE RIGHT TO SCREEN FROM EMPLOYMENT SUCH INDIVIDUALS. IF HIRED, I UNDERSTAND THAT THE FIRST 90 DAYS OF EMPLOYMENT ARE CONSIDERED A PROBATIONARY PERIOD, DURING THAT TIME I WILL NOT BE CONSIDERED A REGULAR EMPLOYEE. I WILL BE CONSIDERED A REGULAR EMPLOYEE AFTER I HAVE SUCCESSFULLY COMPLETED THIS PROBATIONARY PERIOD.

__________________________________________ Email Address_______________________@_________________ SIGNATURE OF APPLICANT DATE

APPLICATION WILL ONLY BE CONSIDERED FOR 3 MONTHS, AFTER THAT TIME, YOU MUST COMPLETE A NEW APPILCATION FOR FURTHER CONSIDERATION