• Image field 3
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Position & Employment Preference (Check all that apply)*
  • Date available to start **
     / /
    2 digit month, 2 digit day, 4 digit year
  • Relevant Skills & Experience (Check all that apply)*
  • 0/500
  • 0/500
  • 1. Are you legally authorized to work in the United States?*
  • 2. Can you perform the essential functions of the position(s) selected, with or without reasonable accommodation?*
  • Highest grade completed*
  • Image field 36
  • EMPLOYER 1
  • 0/600
  • EMPLOYER 2
  • 0/600
  • EMPLOYER 3
  • 0/500
  • Have you ever been terminated from a previous job?*
  • 0/500

  • APPLICANT CERTIFICATION & AUTHORIZATION

  • I certify that the information in this application is true and complete to the best of my knowledge. I understand that materially false or omitted information may disqualify me or, if discovered after hire, may result in corrective action up to and including termination, consistent with applicable law.

    I authorize SHOP-4-LESS to verify job-related information and contact the employers and references I have authorized above, to the extent permitted by law. Any separate background check will be handled at the legally appropriate stage with required notice or authorization.

    I understand that this application is not an employment contract. If hired, my employment will be at will to the extent permitted by applicable law, unless modified by a written agreement signed by an authorized company officer.

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Image field 67
  • Should be Empty: