ValuMarket Employment Application

Employment Application

Join the ValuMarket Family!
Full Legal Name*

First NameMiddle Name/InitialLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check one *

I am looking for Full time workI am Looking for Part time work
Location preferred*

Mid City MallIroquois ManorOuter Loop PlazaMt. Washington, KY
Which Departments are you interested in working? Select all that apply.*

CashierBagger/Cart RetrievalStockDeli/BakeryFrozen FoodsDairyOnline Order FulfillmentOnline Order Delivery (Clean driving record and valid drivers license required)Pharmacy (experience required)Butcher (experience required)Service Desk (experience required)Other
I am a U.S. Citizen or am authorized to work in the U.S. on an unrestricted basis:*

YesNo
Have you ever been convicted of a felony? (This does not automatically exclude you from employment )*

YesNo
If Yes above, please briefly explain:
Do you have reliable transportation?*

YesNo

List all the Hours you are available to work in the chart below.*

Education History

Tell us about your schooling!
High School Name*
Number of Years Attended*
Graduated *

YesNo
College Name*
If still in High School, Just type "Not Yet" here.
Number of Years Attended
Graduated

YesNo
Other education:
Any other education you feel we should know about?
Employment History
Most Recent/Current Employer
Most Recent Employer Name
Rows Date Started Date Ended

Dates worked for
Most Recent Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Salary/Wage
Type of Work Performed
Reason for Leaving
Supervisor's Name and Position
You're almost there!

Just one more question! And it's an important one!
Please tell us what makes you the perfect candidate to join the ValuMarket family.*
Thank you for taking time to complete this job application. We will keep your application on file and consider it when we have an opening that fits your skills. We look forward to you potentially becoming part of the ValuMarket Family.

www.valumarket.com
Should be Empty:

Rows	Date Started	Date Ended
Dates worked for

Employment Application