Online Job Application Form

Job Application Form

Please Fill Out the Form Below to Submit Your Job Application
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you 21 years of age or older?*

YesNo
If no, list current age:
Applied Position*
Kitchen Staff, Retail Associate, Cook's Assistant, Dishwasher, etc
Earliest Possible Start Date*

MonthDayYear
Date
Are you interested in full-time or part-time employment?*

Full-timePart-timeOpen to either
Pay desired:*
The Good Life Market is normally open seven days a week from 7AM to 7PM. Are there any days or hours during the week when you are unable to work? If so, please indicate when:*
Do you have any physical conditions which prevents you from performing certain jobs? If yes, please describe the limitation(s):*
Do you posses a driver's license that is valid in Maine?*

YesNoDriver's permit
Driver's License Number:

References

List three persons other than relatives who have definite knowledge of your qualifications:
Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Years Acquainted:*
Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Years Acquainted:*
Name:

First NameLast Name
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Years Acquainted:

Optional Resume Upload:

Cancelof
Add any other pertinent information:
The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.
Signature*
Date*
Should be Empty:

Job Application Form