Career

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    Personal Information

    Name:

    Address:

    Referred by:

    Are you 18 years of age older?

    YesNo

    Employment Desired

    Are you employed now?

    YesNo

    If so may we inquire of your present employer?

    YesNo

    Have you ever worked at any Villa Park Market?

    YesNo

    Available to work








    Former employers

    List below your last two employers, starting with the last one first.






    General



    References

    List below three persons not related to you, whom you have known at least one year.












    Education

    Grammar School

    Did you graduate?

    YesNo


    High School

    Last year completed

    1234

    Did you graduate?

    YesNo


    College

    Last year completed

    1234

    Did you graduate?

    YesNo


    Others

    Last year completed

    1234

    Did you graduate?

    YesNo

    I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.
    I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employment and any pertinent information they may have and I release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that if hired my employment is "at-will", there is no definite period of employment and may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice and without cause. I also understand and agree that for the first 90 days of my employment I will be an introductory employee subject to termination without cause and without prior notice.

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    Address
    302 W. North Avenue
    Villa Park, IL 60181
    Phone

    (630) 617-5252

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