Personal Information Incomplete information could disqualify you from further consideration. Please complete all fields.
Name
Last Name
Email
Mobile Phone
Home Phone
Address
State
Zipcode
If yes, please provide company names and details
If no, explain:
Employment desired
Date you can start
Hourly rate/Salary desired
Position applied for:
Referral source
Explain:
If yes, who?
Education
High School
College or University
Trade, Business or Correspondence School
Employment History Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.
From
To
Employer Name
Phone
Job Title
Address
Supervisor
Summarize the nature of work performed and job responsibilities
Reason for leaving
From
To
Employer Name
Phone
Job Title
Address
Supervisor
Summarize the nature of work performed and job responsibilities
Reason for leaving
From
To
Employer Name
Phone
Job Title
Address
Supervisor
Summarize the nature of work performed and job responsibilities
Reason for leaving
References
Name three persons not related to you, whom you have known for at least three (3) years.
Name
Phone
Relation
Years Acquainted
Name
Relation
Years Acquainted
Name
Phone
Relation
Years Acquainted
Please read carefully before signing.
I understand that neither completing this application nor any other part of my consideration for employment establishes any obligation for S-Mart Meat & Produce, LLC to hire me. If I am hired, I understand that either S-Mart Meat & Produce, LLC or I can terminate my employment at any time and for any reason, with or without cause or prior notice. I understand that no S-Mart Meat & Produce representative has the authority to make any assurance to the contrary.
I attest with my signature below that I have provided S-Mart Meat & Produce, LLC., DBA Key Food Lebanon, with true, accurate, and complete information on this application. No requested information has been concealed. I authorize S-Mart Meat & Produce, LLC to contact the references provided for employment reference checks. If any information I have provided is untrue or if I have concealed material information, I understand that this will be grounds for the denial of employment or immediate dismissal.
Date
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