Vicente's Supermarket: Employment Processing Form

Vicente's Employment Application

Join the Family!
Name:*

First NameLast Name
Current City:*
Current State:*
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Email:*
Were you ever employed by us, or have you frequently applied to our company?

YesNo
If YES, where and when:
If you are UNDER the age of 18, please enter your age:*
Are you legally able to be employed in the United States?*

YesNo
Store Location:

Brockton, MA - 160 Pleasant StreetBrockton, MA - 689 Main StreetPawtucket, RI - 470 Pawtucket Avenue

Please select all days of the week and shifts you are available to work:*

Total number of hours that you are available to work per week:
Primary Department of Interest:

CashierGroceryMeatProduceDeli / KitchenDairy / FrozenBakeryCarriage AttendantCustomer ServiceSeafood / Fish Cutter (No Experience Required)Any
Specialty Positions - Experienced Candidates Only:

ManagementMeat CutterChef / CookSeafood / Fish Cutter (Experienced)
Education
Last School Attended:
Location:
Last Grade Completed:
Course of Study:
Previous Employment:
Company:
Location:
Position:
Supervisor:
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Reason for Leaving:
The distribution or receiving of this application by our company does not imply an agreement or contract to employ the applicant. The purpose of this application is solely to allow persons a standardized form on which to submit their qualifications. If you are offered and accept a position, you will be required to complete Vicente's Supermarket Employment Processing Form.

Manager: If this Applicant is hired, please attach this Employment Application to the designated location on the Employment Processing Form.
Should be Empty:

Vicente's Employment Application