Date of application:
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MM
DD
YYYY
Interested in:
Name
*
First Name
Last Name
Preferred Name
First Name
Last Name
Mailing Address
City, State, and Zip Code
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
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Have you previously worked at Clovers Natural Market?
What is your weekday availability?
Please check all that apply!
Could you please be more specific about what times of day you are available on the days selected?
Specifically morning, midday, or evening/nights.
Why have you decided to seek employment at Clovers?
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In your previous jobs or even outside of work, what have been your most significant and meaningful accomplishments that relate to the job for which you are applying?
*
Please give us your definition of world class customer service.
*
What customer service skills would you bring to Clovers that relate specifically to our field?
*
If hired, can you furnish proof that you are eligible to work in the U.S.?
*
EDUCATION
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High School
Undergraduate
Graduate/Professional
How many years of selected education were completed?
Reference 1
First Name
Last Name
Email
Phone
(###)
###
####
Relationship to you
Reference 2
First Name
Last Name
Email
Phone
(###)
###
####
Relationship to you
Reference 3
First Name
Last Name
Email
Phone
(###)
###
####
Relationship to you
Employer:
Dates Employed:
Address:
Phone
(###)
###
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Job Title:
Supervisor
Work Tasks Performed (please be specific):
Reason for Leaving:
Employer:
Dates Employed:
Address:
Phone
(###)
###
####
Job Title:
Supervisor
Work Tasks Performed (please be specific):
Reason for Leaving:
Employer:
Dates Employed:
Address:
Phone
(###)
###
####
Job Title:
Supervisor
Work Tasks Performed (please be specific):
Reason for Leaving:
Please list any social or community activities that you are currently involved in or have participated in the past. This can include work for a charitable organization, volunteering for city programs, or membership in service organizations. Please exlude memberships which would reveal sex, race, religion, national origin, age, sexual orientation, ancestry, physical limitations, or any other legally protected status.
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One of our values at Clovers is that of community. We live this value by fostering teamwork and practicing collaboration among our employees. How do you feel that you can contribute to creating a community of teamwork and trust?
*
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
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I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I understand that the employer may request an investigative consumer report from a consumer reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained from interviews with neighbors, friends, former employers, schools and others. I understand I have a right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation.
I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations named in this application to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I understand that if I am extended any offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I UNDERSTAND THAT THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.
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