Larry's Foodland

Employment Application
Thank you for your interest in a position at Larry's Foodland -- Southeast Michigan's ONLY current 24-hour grocery store!

Please fill out the following information; we will contact you soon. If you're under 18 years old, we ask that you get your worker's permit and apply in-store by requesting an application in person.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Primary Phone Number*
123-456-7890
Alternate Phone Number
Email
example@example.com
Positions Interested (Check all Interested In)*

Grocery/DairyBaggerCashierDeliFood PrepProduceMeat WrapperMeat CutterMidnights (Must be able to stock, cashier, and clean.)Butcher (Requires experience.)Night Office Supervisor (230-11pm. Weekends required. Must have strong competency with numbers and team leading skills.)
Preferred Employment Type*

Part TimeFull Time
Are there any days or times that you are consistently unavailable?

YesNo
What days or times are you consistently unavailable?

7:30 A.M. - 12:00 P.M.12:00 P.M. - 4:00 P.M.4:00 P.M. - 11:00 P.M.11:00 P.M. - 7:30 A.M.
Fully Unavailable Days

SundaysMondaysTuesdaysWednesdaysThursdaysFridaysSaturdays
Other (Please explain)
Date You Can Begin Employment*

MonthDayYear
Date
Education Level Completed*
Graduate Degrees Received
Military History
Have you been convicted of a crime, other than minor traffic violations?*
If yes, when, where, and what were the convictions?
When, where, and what were the convictions?
EMPLOYMENT INFORMATION
Current
Previous Employer 01
Previous Employer 02
Previous Employer 03
How were you referred to us?

Walk-InReferralNewspaper AdFacebookTwitterLinkedInOther (please specify)
Resume and Files

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Employment Application