Application for Produce Clerk






Are you 16 years of age or older?*

Are you 18 years of age or older?*

Address *

Personal Section

Are you eligible to work in this country?

Have you previously worked for Tom's Food Center or any of it's affiliated companies?*


Have you been convicted of, or completed your sentence or parole for a crime involving violence, sex, stalking, minors, theft, domestic violence, property damage, fraud, shoplifting, robbery or drugs?*


Educational History*

Did you graduate?
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Work History*

Can we contact them?

Reason for Leaving?

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References*

Please enter the name and contact information of your references.

Availability

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+ Add another timeslot - Remove extra timeslot
+ Add another timeslot - Remove extra timeslot
+ Add another timeslot - Remove extra timeslot
+ Add another timeslot - Remove extra timeslot

Resume & Cover Letter/Other attachments

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Cover Letter / Additional Information(optional):

Locations*

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Authorizations

I understand that the Company may require that I submit to a drug screening test prior to being hired. I consent to any drug screening test required by the Company. I also understand that if I am hired, the Company may require me to undergo a drug test at any time during my employment and an alcohol test as permitted by law. I agree to take such a test.
I certify that all of the answers and information given by me in this application are true, accurate and complete without qualification. If I am hired, I understand that if the Company, at any time determines that any of the requested information as withheld by me, or any of the statements furnished above were false, inaccurate or misleading, I will be subject to immediate dismissal once the facts become known.
 
I authorize investigation of all information contained in this application and also authorize full disclosure of my present and prior work records by any employer. I understand that employment arising out of this application is contingent upon the results of this investigation. I release any employer from any obligation to provide me with written notification of any information disclosed. I understand that this may include a record of disciplinary action assessed by the employer.
I recognize that this application is not an offer for a contract of employment. I further recognize and agree that if I am employed by the company such employment will not result in a contract for employment and that the Company may terminate my services at will, at any time, for any reason.