Sloan Super Market Careers & Employment

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Fields in bold are required

Please use this for online submission only -- do not print and mail or fax. If you would like a printed application sent to you, please email dave@sloansupermarket.com.

Contact Information:

Last Name:
First Name:
M.I.:
Address:
City:
State:
Zip Code:
Phone Number:
Email Address:

Skills and Areas of Expertise

Experiances in the following fields or equipment (please check all that apply):
Cashier Deli Butcher	Preparing Foods Stocking General Store
What Are Your Weight Restrictions?:
Do you have any medical conditions that limit your ability to perform the job duties within this company?:
Do you have a valid license, if so please provide license number:
Do you own your own vehicle?:	yes no
Age - Please Select:
*if under 18, please state date of birth (mm/dd/yyyy):
If hired, can you provide proof that you are eligible to work in the United States?:	yes no
Date you are available to start work (mm/dd/yyyy):

Previous Experience

Have you ever worked at Sloan Super Market Before?:	yes no
If yes, Dates of Employment:
If yes, Job Duties:
If yes, Name of Supervisor(s):

Referral

How did you find out about a job at Sloan Super Market?:
(if referred or other, please specify):

Job Preference

Why do you want to work at Sloan Super Market?:
Are you willing to work weekends?:	yes no

Please enter the jobs that you are most interested in:

First Choice:
Second Choice:
Other:

Education and Special Training

Education and Special Training:
Name of High School:
City:
State:
Degree?	yes no
Special Certification(s):
College:
City:
State:
Degree?	yes no
if yes, Name of Degree:

Employment History:

Starting with present or most recent, list your last two previous employers. Please include self employment, seasonal, part time jobs and volunteer work.

Employer #1 (Required)

Employer #1 Name:
Phone:
City:
State:
Employed	from to
Salary:
Supervisor:
Job Title:
Job Duties:
Reason for leaving:
May we contact?:	yes no

Employer #2 (Required)

Employer #2 Name:
Phone:
City:
State:
Employed	from to
Salary:
Supervisor:
Job Title:
Job Duties:
Reason for leaving:
May we contact?:	yes no

Employer #3

Employer #3 Name:
Phone:
City:
State:
Employed	from to
Salary:
Supervisor:
Job Title:
Job Duties:
Reason for leaving:
May we contact?:	yes no

References:

Please provide name, address and phone # of three references not related to you and not listed above.

Reference #1:
Reference #2:
Reference #3:

Applicant's Certification & Agreement:

I voluntarily give Sloan Super Market the right to make a thorough investigation of my past employment activities as well as personal history that is job related, agree to cooperate in such investigation, and release from all liability or responsibility all persons, companies, and corporations supplying such information. I agree to wear or use protective clothing, or devices as required by the company and to comply with all work and safety rules. I understand that if I accept employment at Sloan Super Market I can terminate my employment and can be terminated at any time, with or without cause, and that there is no contract, expressed or implied, for continued employment. I certify that the above information and information on my resume is true and accurate to the best of my knowledge, I understand that if I misrepresent or deliberately leave out a fact in my resume or application, I may be refused employment or, if I am employed, I may be terminated immediately.

Date: (mm/dd/yy)

Signature:

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Location

Sloan Super Market
494 Reiman Street
Sloan NY 14212
Phone: (716) 896-8982
Fax: (716) 362-0982