Application KJs

Application For Employment

Our company will consider qualified applicants for all positions without regard to race, color, creed, religion, sex, national origin, age, disability, veteran status or any other legally protected status.

Criminal and/or credit background investigations may be required as part of the employment process.

Equal opportunity employer.
To submit your application, please complete the form below.

All fields are required unless marked otherwise.

Personal Information

First Name

Last Name

Middle Name

Street Address

City

State

Zip Code

Email

Phone Number

At least 18 years of age?

Yes No

If not, please list Age

Employment Objectives

Check at least one store location you're applying for:

KJs Fresh Market -1024 24th Ave. SW Minot, ND

Position desired

Rate of pay expected

Work Availability

Part Time Full Time Seasonal

Have you applied with us before?

Yes No

If hired, when can you start work?

Min hrs weekly

Max hrs weekly

Availability

Days of the week you are available

Hours Available

AM PM Both

Available Thanksgiving week?

Yes No

Available Christmas week?

Yes No

The week before Christmas?

Yes No

Please note any other holiday conflicts:

Miscellaneous Questions

Is there additional information involving a change of name or assumed name that will permit us to check your work record?

Have you ever been employed by our company?

Yes No

If yes, when?

Location

Position(s) Held

Reason for leaving

List names of friends and relatives currently employed by our company

Have you ever been convicted of or pled guilty to a crime?

Yes No

If so, please explain.

Do you know of any reason why you would not be able to maintain an excellent attendance record?

Are you able to perform the functions of the position you are applying for (with or without reasonable accommodation)?

Yes No

Other skills applicable to the position applied for (e.g. computer proficiency, typing skills, etc.)

Can you, after employment, submit verification of your legal right to work in the U.S.?

Yes No

Have you ever served in the armed forces of the United States?

Yes No

If so, what branch?

Educational Background

High School

Name of High School

City

State

Area of Study

Years Completed

Did you graduate / receive a degree?

Yes No Enrolled

College

Name of College

City

State

Area of Study

Years Completed

Did you graduate / receive a degree?

Yes No Enrolled

Other

Name of other

City

State

Area of Study

Years Completed

Did you graduate / receive a degree?

Yes No Enrolled

Certifications or Training

Employment History (Most Recent Jobs First)

Present or Last Employer

Job Title

Company Name

Company Address

City

State

Start Date

End Date

Starting Wage

Ending Wage

Describe your work in detail

Reason for leaving

Name of Supervisor

Title of Supervisor

Supervisor Phone Number

If this is your present employer, may we contact?

Yes No

2nd Previous Employer

Job Title

Company Name

Company Address

City

State

Start Date

End Date

Starting Wage

Ending Wage

Describe your work in detail

Reason for leaving

Name of Supervisor

Position or Title of Supervisor

Supervisor Phone Number

3rd Previous Employer

Job Title

Company Name

Company Address

City

State

Start Date

End Date

Starting Wage

Ending Wage

Describe your work in detail

Reason for leaving

Name of Supervisor

Position or Title of Supervisor

Supervisor Phone Number

4th Previous Employer

Job Title

Company Name

Company Address

City

State

Start Date

End Date

Starting Wage

I certify that the answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this period should inquire as to whether or not applications are being accepted at that time.

The applicant understands that neither this document nor any offer of employment from the employer constitutes an employment contract unless a specific document to that effect is executed in writing by the employer and employee. This application and other Company documents are not intended to create and do not create an employment contract between the Company and me. The Company and its employees have an employment relationship which is known as employment "at-will". This means that the employee or the company may terminate the employment relationship at any time and for any reason, with or without advance notice. I also hereby certify that I have provided accurate, complete, and truthful information in this application and my employment may be terminated for violation of this certification.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Signature of Applicant

Date

By clicking SUBMIT, I acknowledge that I have read, understand and agree to all of the above statements.