MEGA Liquor & Smoke Employment Application
7106 Grape Rd., Granger IN 46530
Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin or handicap.
Personal Information
First and Last Name:
*
First Name
Last Name
Date of Birth?
*
-
Month
-
Day
Year
Date
Email:
example@example.com
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number:
*
Please enter a valid phone number.
Social Security Number:
*
Position Applying For:
Have you ever been employed or applied for employment with us?
Yes, describe below.
No
If you have applied with us before, what month, year & location? (MM/YYYY, Location)
Are you applying for Full Time or Part Time?
Full Time
Part Time
When will you be available to start working?
Are you 18 years or older?
*
Yes
No
Are you 21 years or older?
*
Yes
No
Indicate the days and hours you are able to work. Please indicate AM or PM in your responses.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Availability AM to PM
Only U.S. citizens or aliens who have a legal right to work in the United States are eligible for employment. Can you, upon employment, submit verification of your legal right to work in the United States and documentation verifying your identity?
*
Yes
No
How did you hear about this employment opportunity?
Advertisement/ Flyer
Friend/ Relative
Employment Agency
LinkedIn
Indeed
Other
Education
What is the highest form of education you have recieved?
Please Select
Elementary
High School or GED
Associates Degree
Bachelors Degree
Masters Degree
PHD
Other Training
Please fill out the table below.
Name of location of School:
No. of years completed
Did you Graduate Y/N
Degree or Diploma Y/N
Comments
Elementary
High School
College/ University
Other Training
Employment
Please fill out the following section with your most recent employer at the top.
Work experience:
Company Name
Address
Company Telephone
Supervisor Name
Time Employed (MM/YYYY - MM/YYYY)
Job Title
Job 1 (Most Recent)
Job 2
Job 3
Job 4 (optional)
Skills
Do you have any of the following skills or experiences:
Work a Cash Register
Stocking
Organizational Skills
Computer Skills
Other
Miscellaneous
An affirmative answer to questions in this section does NOT automatically exclude you from employment.
Store employees and warehouse employees are required to stand a major portion of the work day. Do you have any restrictions or limits because of dizzy spells, varicose veins, back issues, circulatory issues, foot, hip or knee problems, etc.?
*
Yes
No
Store employees and warehouse employees are required to clean, dust and sweep the facilities daily. Do you have any restrictions that would prohibit you from performing these duties, such as allergies, asthma, chronic cough, emphysema, etc.?
*
Yes
No
Store employees and warehouse employees are required to do considerable amounts of lifting and carrying of merchandise. Do you have any restrictions from performing these duties, such as arthritis, back problems, bursitis, heart trouble, hernia, trick shoulder, etc.?
*
Yes
No
Have you ever been bonded?
*
Yes, explain below
No
If you have been bonded, with what employer were you bonded?
Have you been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?
*
Yes, describe below
No
If you have been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court, please describe in full:
Signature
I certify that 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. I understand that this application is not and is not intended to be a contract of employment. If you decide to engage an investigative consumer agency to report on my credit and personal history, I authorize you to do so. If a report is obtained, you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report. 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 Company. I acknowledge that MEGA Liquor & Smoke will run a background check to ensure that I can obtain a liquor license.
Todays Date
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Month
-
Day
Year
Date
Signature
Submit
Should be Empty: