Jr. Food Mart

Gain Real-Life Business Experience

For over 80 years we have helped employees gain confidence and business skills, regardless of their work experience. Learn sales, management, customer service... Get rewarded! Earn competitive pay and fast potential for raises...

Are you Jr. Food Mart Material?

We are Fun & Friendly
We are Team Players
We are Hard Workers

We Offer a Business Career!

Online Application Form

JFM Incorporated is an equal opportunity employer.

In accordance with company policy it should be known that JFM Incorporated conducts post accident and random drug tests.

Store Location:

PERSONAL INFORMATION

Position or Shift applying for:		Date available:
Total hours available per week:
Do you have a dependable way to get to work? Yes No
Full Name (PLEASE PRINT):	(First/Middle/Last)
Present Address:	(number and Street/city/state/zip)
Social Security Number:
Phone:
Are you 18 years of age or older? Yes No
Have you ever worked for this company before? Yes No
If yes, please give dates and Store Location / Number :
Have you, since the age of 18, been convicted of a crime other than a traffic violation? Yes No
If yes, please explain:
Are you eligible for employment in the United States? Yes No
In order to comply with the Immigration Act of 1986, a new employee must supply documents that prove identity and employment eligibility ( i.e. Driver’s License, Social Security Card, etc.) within 3 business days of hire in order to complete the required Form I-9. Because of the importance of this requirement, we must include it as a condition of employment.

MEDICAL INFORMATION

Do you have any medical or physical condition that would prevent you from performing specific kinds of work? Yes No

If Yes, please describe your work limitations:

MILITARY INFORMATION

Were you a member of the United States Armed Services? Yes No
Branch:
Type of Work:

EDUCATION

Please select the LAST GRADE YOU COMPLETED in school. GED College:
Did you graduate?	Yes No	Are you currently attending school?	Yes No
Last school you attended:	(Name Of School / Address / City / State)

WORK HISTORY

Please start with your present or most recent employment:
RECENT EMPLOYMENT HISTORY
Company Name:		Company Phone:
Address:		Supervisor:
City:
State:
Zip:
From(month/year):		To(month/year):
Position/Title:		Key Duties:
Salary:
Reason For Leaving:

PAST EMPLOYMENT HISTORY
Company Name:		Company Phone:
Address:		Supervisor:
City:
State:
Zip:
From(month/year):		To(month/year):
Position/Title:		Key Duties:
Salary:
Reason For Leaving:

PROFESSIONAL AND CHARACTER REFERENCES

Please DO NOT list relatives or previous employers.
Name:		Occupation
Telephone:		How long have you known this person?
Address:		City/State/Zip:

Name:		Occupation
Telephone:		How long have you known this person?
Address:		City/State/Zip:

Name:		Occupation
Telephone:		How long have you known this person?
Address:		City/State/Zip:

In what computer software programs are you proficient? (i.e. Windows, etc.)

If applying for a clerical position, what business equipment can you operate? (i.e. Computers, copiers, registers, etc.)

Additional Space (if needed)

AUTHORIZATION AND RELEASE FOR PRE-EMPLOYMENT SCREENING:

Please Read the Following Statements Carefully:

I certify the answers given by me to the foregoing questions and the statements are true and complete to the best of my knowledge. I understand that any false or misleading information in the employment interview, this application or other required documents may result in rejection of my application or discharge whenever discovered.

I hereby give the company and/or its agents the right to thoroughly investigate my background including, but not limited to, credit, driving record. criminal record, education and previous employment.

I authorize all persons, schools, companies, information service bureaus, governmental agencies and law enforcement authorities to release any information concerning my background and hereby release all said persons, schools, companies, information service bureaus, governmental agencies and law enforcement authorities from any liability for any damage whatsoever for issuing this information.

I authorize the company to release to other employers, information service bureaus and governmental authorities any information regarding me and/or my employment. If required, I agree to complete a medical history form and submit myself upon request for a physical examination by a physician designated by the company and to future medical examinations the company may require as a condition of employment. If required, I am willing to submit to drug testing prior to and during employment.

If employed, I agree to acquaint myself with and to abide by all rules, regulations and policies established or amended by the company. I understand that if employed, my employment and compensation is for an indefinite period of time and can be terminated, with or without cause and without prior notice by the company or me. I further acknowledge that a telephone facsimile (FAX) or photographic copy shall be as valid as the original.

Are you agreed? Yes No

In accordance with Company policy, it should be known that:
JR. FOOD MART CONDUCTS
POST-ACCIDENT AND RANDOM DRUG TESTS

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