Have you ever been employed by Palama Supermarket before? *
Required
Desired Pay ($/hr)
Your answer
List your education background with graduation year (Include name of the school and its City&State) *
Your answer
Recent Job experience with period and reason for leaving *
Your answer
Available start date *
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Are you legally eligible to work in the US? *
Please list reference with relationship and phone number *
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I certify that the information provided on this application form is accurate and complete to the best of my knowledge. I understand that any false statements or omissions may disqualify me from employment or may result in termination if already employed.
(Please write your name as a signature before submitting.)