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Application for Employment
An Equal Opportunity Employer

 

Personal Information

First Name*

Last Name*

Phone*

Email*

Street Address*

Apartment

City*


  State, Zip*

 

Personal Questions

Have you ever worked for Saveway in the past?

  Yes    No

Are you currently Employed?

  Yes    No

Are you either a U.S. citizen or an Alien with unrestricted authorization to work in the United States?

  Yes    No

Have you ever been convicted of or charged with a felony or misdemeanor?

  Yes    No

Are you under 18 years of age?

  Yes    No

Work Amount Desired:

Full Time  Part Time  Temporary / Seasonal

Position Desired

Position Desired

Alternate

Alternate

Availability

Available to Start

Weekday

Specific Times

 Monday

 Tuesday
 Wednesday
 Thursday
 Friday
 Saturday
 Sunday

Wage Desired

Wage Per

 

Education:

Schools, Colleges & Other Training (List In Order Of Completion)

High School

  

Name  Years Complete

 Graduated/Completed  Yes  No  Attending

College

  

Name  Years Complete

 Graduated/Completed  Yes  No  Attending

Other

  

Name  Years Complete

 Graduated/Completed  Yes  No  Attending

Employment History

(List Most Recent First)

Employer 1

  

Employer

Last Position

Supervisor

Street Address

City

State  Zip

Phone

Ending Pay

Employed From To
Reason For Leaving   

Duties & Responsibilities

Employer 2

  

Employer

Last Position

Supervisor

Street Address

City

State  Zip

Phone

Ending Pay

Employed From To
Reason For Leaving   

Duties & Responsibilities

Employer 3

  

Employer

Last Position

Supervisor

Street Address

City

State  Zip

Phone

Ending Pay

Employed From To
Reason For Leaving   

Duties & Responsibilities

Personal or Business References

(List Most Recent First)

Reference 1

  

Name

Company

Position

Street Address

City

State  Zip

Phone

   

I know this person as a Supervisor   Co-Worker    Friend    Other

Reference 2

  

Name

Company

Position

Street Address

City

State  Zip

Phone

   

I know this person as a Supervisor   Co-Worker    Friend    Other

Reference 3

  

Name

Company

Position

Street Address

City

State  Zip

Phone

   

I know this person as a Supervisor   Co-Worker    Friend    Other

Special Skills & Qualifications

Describe any special skills or qualifications for this position.

Policy & Application Agreement

I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Saveway, to investigate any statement contained in this application, and to obtain a credit report on me (and my company if this application is for reselling by a company) as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand that I am required to abide by all rules, regulations and policies of Saveway.

 I Agree   I Do Not Agree *

Post Offer Drug and/or Alcohol Screening

I understand that if I am a qualified candidate for a job opening, I may be required to undergo a drug and/or alcohol screening with a subsequent negative result as a condition of employment. The submission of the form is my permission for Saveway Market or it's agents to take samples of my breath and perform alcohol screening on those samples. Further, I give my consent for the release of the test results to authorized company management for appropriate review.

 I Agree   I Do Not Agree *

Submit Your Application

You can submit your completed application to us electronically by clicking the Submit Button below, or if you prefer you can click the Print Button to view a printer friendly version of your completed application.