Job Application
Please complete the form below to apply for a position with us.
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Name
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First Name
Last Name
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Area Code
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Current Address
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Street Address
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Email Address
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Applying for Position:
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How did you hear about this job?
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Expected Rate of Pay
Are you age 18+
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Are you a member of a food co-op?
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Yes
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Previous Work Experience
List your previous work experience, in chronological order, beginning with your present or most recent employer, or attach a current resume. In a few sentences, describe your job; what you liked about it, didn't like and your reason for leaving.
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May we contact your current and former employers for a reference?
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Company Name
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Your Title
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Supervisor's Name and Title
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Phone Number
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Area Code
Phone Number
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date
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End Date
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Duties and Responsibilities
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Reason for Leaving
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Company Name
Your Title
Supervisor's Name and Title
Phone Number
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Start Date
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Month
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End Date
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Duties and Responsibilities
Reason for Leaving
Company Name
Your Title
Supervisor's Name and Title
Phone Number
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Phone Number
Address
Street Address
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City
State / Province
Postal / Zip Code
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Job Description
Reason for Leaving
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Education
High School
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Graduated or GED
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Please Select
Yes
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Degree
College
Graduated or GED
Please Select
Yes
No
Degree
Trade/Other
Graduated or GED
Please Select
Yes
No
Degree
Professional References
Please provide names, and phone numbers of three references, not related to you, whom you have known for at least one year, can speak to your skills, your work experience, or anything that you think would be relevant to your successful employment with the Co-op.
Name
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First Name
Last Name
Relationship
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Phone Number
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Area Code
Phone Number
Email
example@example.com
Name
First Name
Last Name
Relationship
Phone Number
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Area Code
Phone Number
Email
example@example.com
Name
First Name
Last Name
Relationship
Phone Number
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Area Code
Phone Number
Email
example@example.com
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General
Date available to begin work
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Month
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Year
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Do you prefer:
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Part-Time: under 30 hours
Full-Time: 30-40 hours
Seasonal: less than 90 days
Do you have any commitments to another employer or school that might affect your employment with us? If so, please explain:
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Availability
Availability is an important deciding factor in whether we consider you for a position. Please note the requirements of the position and give the availability you can work rather than just your preferred schedule.
I have open availability and am able to work a flexible schedule to support business needs, including evenings, weekends, and holidays.
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My availability is:
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Are you able to perform the essential duties of the job (see job description)?
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Why do you want to work at the Co-op and what attracts you to this particular job?
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How long could you foresee yourself working here?
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How does your past job experiences relate to this new position?
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What is the extent of your knowledge and/or experience with The Co-op and the products we sell?
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Is there anything else you’d like to add about yourself?
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All information I have supplied on this application is true to the best of my knowledge. I understand that if I am employed, discovery that I gave false information during the application process may result in immediate termination of employment. As a digital signature, please enter the message as it's shown
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