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C Fresh Market Hiring Application
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Middle Inital
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Four Last Social Security Number ?
*
Your answer
Permanent Address
*
Your answer
City
*
Your answer
States
*
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Your answer
Your Phone Number To Contact For Interview ?
*
Your answer
In Case of Emergency, Who To Contact ?
*
Your answer
Emergency Phone Number
*
Your answer
Do You Have Any Relative Working at C Fresh Market ?
Yes, I Have Relative Working At C Fresh Market
No, I Don't Have Relative Working At C Fresh Market
Clear selection
Are You Legally Entitled To Work In The U.S ?
*
Yes
No
Education History (Grammar School ,High Schools , College , Trade Or Business Schools) And Attended Month And Year
Your answer
Occupational License, Certificate or Registration ( Number, Where Issued, Expiration Date )
Your answer
Did You Graduate High School ?
*
Yes
No
I Don't Go To High School.
Are You at least 16 years old?
*
Yes
No
Are You Available Working Full Time or Part Time ?
*
Full Time
Part Time
Have you ever been convicted of a crime?
*
Yes, Please Explain
No
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s) And Date of convicted ?
*
Your answer
Special Skills (List all pertinent skills and equipments that you can operate)
Your answer
Are You currently Employed ?
*
Yes
No
Other
If No, Reason For Leaving?
*
Your answer
Date For Leaving ?
MM
/
DD
/
YYYY
Date Of Employment ?
MM
/
DD
/
YYYY
Working Experience (Starting with most recent: Employer, Job Title, Specific Duties, Hours per Week, and Pay Wage)
Your answer
Working Experience references (Starting with most recent: Name, Address, Manager and Contact Number, )
Your answer
May We Contact This Employer?
*
Yes
No
What Is Your Desired Salary ?
Your answer
Position Or Type Of Employment Desired ?
*
Cashier Department
Meat Department
FishDepartment
Frozen Grocery
Dry grocery
Other
Required
If you select Other , What Position Or Type Of Employment Desired ?
Your answer
Do You Have A driver's License ?
*
Yes
No ,explain how you can go work and be on time ?
Explain How You Can Go To Work And Make Sure To Be On Time ?
Your answer
Signature of Applicant ( Please Print and Initial )
*
Your answer
Date
*
MM
/
DD
/
YYYY
Signature For Understanding APPLICANT’S AGREEMENT ( Please Print and Initial )
*
Your answer
Date
*
MM
/
DD
/
YYYY
Submit
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