POWERS FOODTOWN

APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer


PERSONAL INFORMATION

Name:
Address:
Contact Information:
Per Hour

EDUCATION

High School
College or University
Specialized Training, Trade School, etc…
Other Education

PREVIOUS EXPERIENCE

Please list beginning from most recent

ACKNOWLEDGMENT AND AUTHORIZATION

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at
an employment decision.

This application for employment shall be considered active for a period of time not to exceed 180 days. Any applicant
wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being
accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with
this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may
discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship
may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by
an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application
or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the
employer.