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Application Form

Available to Store(s):*
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First Name: *
Last Name: *
MI:
Email Address: *
Telephone: *
( )
-
-
Current Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
How long have you lived at this address?

Previous Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
How long did you live at this address?

Position(s) Applied For:
 Cashier 
 Stocker 
 Deli 
 Warehouse 
 Sacker 
 Backroom 
 Bakery 
 Other 
Rate of Pay Expected:

Shift(s):
 Day Shift 
 Night Shift 
 Evening Shift 
 Any Shift 
Availablilty:
 Full Time 
 Part Time 
Specify Days and Hours You are Available:
Date You are Available:

MM
/
DD
/
YYYY
Have You Been Employed at any Crest Store?
 Yes 
 No 
If Yes, Which Store?
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Starting Date:

MM
/
DD
/
YYYY
Ending Date:

MM
/
DD
/
YYYY

Previous and Past Employment

Fill out previous and past employment or attach resume?
 Fill out previous and past employment below 
OR

 Attach resume which includes sections below 

Name of Most Recent Company
Company Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone Number & Supervisor's Name:
Job Title:
Reason for Leaving:
Describe in Detail the Work You Did:
Starting Date:

MM
/
DD
/
YYYY
Ending Date:

MM
/
DD
/
YYYY
Starting Rate of Pay:
Final Rate of Pay:

Name of 2nd Most Recent Company
Company Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone Number & Supervisor's Name:
Job Title:
Reason for Leaving:
Describe in Detail the Work You Did:
Starting Date:

MM
/
DD
/
YYYY
Ending Date:

MM
/
DD
/
YYYY
Starting Rate of Pay:
Final Rate of Pay:

Name of 3rd Most Recent Company
Company Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Phone Number & Supervisor's Name:
Job Title:
Reason for Leaving:
Describe in Detail the Work You Did:
Starting Date:

MM
/
DD
/
YYYY
Ending Date:

MM
/
DD
/
YYYY
Starting Rate of Pay:
Final Rate of Pay:

If you are offered employment, will you be able to produce evidence that you are at least 18 years of age?
 Yes 
 No 
If you are offered employment, will you be able to produce evidence that you are at least 16 years of age?
 Yes 
 No 
Have you ever been convicted of a felony?
 Yes 
 No 

List any relatives or friends working at Crest:

First:
First Name:
Last Name:
MI:
Relationship:

Second:
First Name:
Last Name:
MI:
Relationship:
Verify not spam: 1+2=? *

Crest Foods is an Equal Opportunity Employer and does not discriminate against any individual in any phase of employment in accordance with the requirements of local, state, and federal law. In addition, Crest Foods has adopted a Program with the goal of ensuring equitable representation of qualified women, minorities and disabled veterans, and other disabled individuals, at all job levels.