Quinn's Market - Application for Employment
Quinn's Market is an Equal Opportunity Employer
Today's Date
Please check locations your are seeking employment.
Quinn's Market - Archbald, PA
Quinn's Market - Peckville, PA
Quinn's Market - Pittston, PA
Quinn's Cafe - Archbald, PA
Last Name
Middle Initial
First Name
Have you ever worked or attended school under another name that we need to know to verify your records?
Yes, (answer next question)
No
If Yes, List Name
Permanent Address
City
State
Zip
E-mail
Home Phone Number
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Please list all hobbies, interests and special skills.
Position / Department Desired
Schedule Preference
Full Time (35 + hours and 5-6 days weekly)
Part Time (days, evenings, weekends)
What days or times are you NOT available to work?
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Are you currently employed?
Full-Time
Part-Time
Not employed
Are you 18 years of age or over?
Yes
No
List availability to work: Please fill in hours for each day.
Sun
Mon
Tues
Wed
Thur
Fri
Sat
List names of friends and relatives currently employed by Quinn's Market.
List any organizations of which you are a member: Exclude any organization which would indicate race, color, creed, ancestry, national orgin, religion, sex or marital status.
Have you ever been employed by Quinn's Market?
Yes (answer next question)
No
If yes, under what name were you employed?
Last Name
Middle Initial
First Name
Store Location
Date Began
Date Ended
Previous Employment - 1
List in order of employment starting with your present employment: Please account for all times including current employment, military service, part-time, full-time and periods of unemployment.
Name of Business
Address
City
State
Rate/Salary
Job Title
Employ Began
Employ Ended
Reason For Leaving
Supervisor's Name
Previous Employment - 2
List in order of employment starting with your present employment: Please account for all times including current employment, military service, part-time, full-time and periods of unemployment.
Name of Business
Address
City
State
Rate/Salary
Job Title
Employ Began
Employ Ended
Reason For Leaving
Supervisor's Name
Previous Employment - 3
List in order of employment starting with your present employment: Please account for all times including current employment, military service, part-time, full-time and periods of unemployment.
Name of Business
Address
City
State
Rate/Salary
Job Title
Employ Began
Employ Ended
Reason For Leaving
Supervisor's Name
Education - High School
Name of High School
Address
City
State
Date From
Date To
List Diploma or Degree
Click last Year Completed
1
2
3
4
Education - College
Name of College
Address
City
State
Date From
Date To
List Diploma or Degree
Click last Year Completed
1
2
3
4
Education - Trade School
Name of Trade School
Address
City
State
Date To
Date From
List Diploma or Degree
Click last Year Completed
1
2
3
4
Education - Other
Name of Other School
Address
City
State
Date To
Date From
List Diploma or Degree
Click last Year Completed
1
2
3
4
Additional History Inquires:
Have you ever been dismissed or forced to resign from any employment?
Yes
No
If yes, please explain.
Have you ever been convicted of a felony crime or theft-related misdemeanor within the last 5 years?
Yes
No
If yes, please explain.
Permission To Work:
If employment is offered, can you submit verification of your legal right to work in the U.S.?
Yes
No
Referral source. Click all that apply
Walk-In Application
Newspaper Ad
Employee Referral
School / College
Internet
E-Mail
Other
Community Organization
References: Can not be related to you:
Reference Name
Address
City
State
Zip
Yrs. Acq.
Reference Name
Address
City
State
Zip
Yrs. Acq.
Reference Name
Address
City
State
Zip
Yrs. Acq.
Please Note
A good attendance record is an important part of every associate's overall performance. Do you know of any reason you may not be able to comply with Quinn's Market's attendance policy?
Yes (answer next question)
No
If yes, please explain.
IMPORTANT PLEASE READ CAREFULLY!
I certify that the answers I have given in this application are true and accurate to the best of my knowledge and I understand that any false or misleading answers or any omission or concealment of facts will disqualify me from consideration for employment or will be grounds for my immediate discharge.
I agree to conform to the rules and regulations of the Company and if employed, I understand and agree that my employment is at-will and no employment contract rights have been created. I also understand and agree that my employment may be terminated at any time with or without cause, and without advance notice at the option of either the Company or myself.
I also understand that any offer of employment is conditional upon the satisfactory completion of the verification process as required by the Immigration Reform and Control Act of 1986 and that the Company will hire only those who are legally authorized to work in the United States and who present acceptable proof of their lawful employment status and identity. By placing my name in the provided box below and clicking the "I agree" button below, I certify and acknowledge that I have read the above and understand it.
Please Click One
I agree to the above
I do not agree to the above
Please type your full name here
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