Fareway Employment Application

Have you ever been convicted of a felony?*

YesNo

Kansas State Law:

A felony conviction prohibits anyone from working in a retail liquor store. A felony must be expunged to work as an employee who serves, mixes and dispenses alcohol or manages employees who handle alcohol.

You must be at least 21 years of age:

The state of Kansas requires retail liquor store employees be at least 21 years old to sell alcohol.

Date of Birth

Used only to verify that you are 21 years of age or older

Are you entitled to work in the United States?*

YesNo

Name*

First NameLast Name

Phone Number*

Email

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What position are you applying for? (Sales associates starting pay: $15/hr)*

Full Time Sales Associate (30-40 hours/week)Part Time Sales Associate (less than 30 hours/week)Anything Available

Date Available to Start*

Store Hours:
Mon-Thurs: 9am-9pm
Fri-Sat: 9am-10pm
Sunday: 10am-7pm
Open 362 days per year. Closed Easter, Thanksgiving & Christmas

Hiring for All Shifts
AM Shift: 8hr shift 8am and 6pm
Mid Shift: 8hr shift between 11am and 9pm
PM Shift: 6-8hr shift between 2pm and 10pm
*Flexible with PM shift start times

Please designate days and shifts you would be available for if hired:*

	AM Shift	Mid Shift	PM Shift	Available for Any Shift	Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

How many shifts/week would you prefer?

Each shift is 6-8 hours

If this is a second job, please note the earliest time you would be able to arrive for PM shift.

Resume (if applicable)

Prior Work Experience

Please list 2-3 prior jobs

Current or Most Recent:

May we contact your previous employer?

YesNo

Prior:

May we contact your previous employer?

YesNo

Prior:

May we contact your previous employer?

YesNo

References

Please list two (2) references that are familiar with your work life.

Reference

Signature: By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me form being hired of lead to my dismissal if hired.*