Newry General Store Job Application

Job Application

Please complete the form below to apply for a position with us.
Full Name*

First Name (Legal)Last Name
Preferred Name
The name you go by if it is different from you legal name.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Please Select Age Category*
Position Applied*
Full Time (30-40 hours)Part Time (10-30 hours)
How did you hear about us*
Available Start Date*

MonthDayYear
Date
Sunday AMSunday PMMonday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PMSaturday AMSaturday PM
How many hours each week are you available to work?
YesNo
YesNo
YesNo
Upload Your Resume*

Cancelof
Education
High School
High School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNo
If GED, please provide state & date received GED Date & State (do not list graduation date):
College
City, State
From:
Enter Year
To:
Enter Year
YesNo
Other Education:
Ex. Serv Safe Certification
Professional References

Please list three professional references:
1. Name of Reference*

First NameLast Name
Relationship*
Company Name*
Email
Company Number*
Include area code
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. Name of Reference*

First NameLast Name
Relationship*
Company Name*
Email
Company Phone Number*
Include area code
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3. Name of Reference*

First NameLast Name
Relationship*
Company Name*
Email
Company Phone Number*
Include area code
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Employment
1. Company Name*
Phone Number
Please enter a valid phone number.
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Supervisor Email
Your Job Title
Responsibilities
Employed From:

MonthDayYear
Date
Employed To:

MonthDayYear
Date
Reason for Leaving
YesNo
2. Company Name
Company Phone Number
Please enter a valid phone number.
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Supervisor Email
Your Job Title
Employed From:

MonthDayYear
Date
Employed To:

MonthDayYear
Date
Reason for Leaving
YesNo
3. Company Name
Company Phone Number
Please enter a valid phone number.
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name
Supervisor Email
Your Job Title
Employed From:

MonthDayYear
Date
Employed To:

MonthDayYear
Date
Reason for Leaving:
YesNo
Why would you like to work here?*
Acknowledgement & Signature

Please read before submitting
I certify that my answers are true and complete to the best of my knowledge.
By submitting this application, I authorize the investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal at any time without notice. I authorize the investigation of all matters contained in this application and hereby give Newry General Store & Cafe (NGSC) and its designees permission to contact my schools, previous employers (unless otherwise indicated), references, and others, and I hereby release NGSC and its assigns from any liability as a result of such contact.

I understand that if I am offered and accept a position at NGSC, there is no contract of employment and employment is at will; I am not being employed for any specified time, and the submission of information is not intended to be a contract for continued employment.

I understand that this application will remain active for a period of three months. After that time, if I desire further consideration, I must renew my application.
I have carefully read the above acknowledgment and I understand and agree to all of the statements.*
Signature

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Job Application

Education

Professional References

Previous Employment

Acknowledgement & Signature