EMPLOYMENT APPLICATIONFOOD AUTHORITY considers applicants for positions on the basis of qualifications without regard to race, religion, national origin, age, sex, marital status, disability or sexual orientation. We Are An Equal Opportunity Employer.Please enable JavaScript in your browser to complete this form.POSITION APPLYING FOR:Name *FirstLastPhoneEmail *WHEN ARE YOU AVAILABLE TO WORK:REGULAR FULL TIMEREGULAR PART TIMEShift TimingsMORNINGSEVENINGSOVERNIGHTDO YOU KNOW ANYONE WHO CURRENTLY WORKS FOR FOOD AUTHORITY?YESNOIf so please provide individual's nameHAVE YOU EVER SUBMITTED AN APPLICATION WITH OUR COMPANY BEFOREYESNOHAVE YOU EVER EMPLOYED WITH OUR COMPANY BEFORE?YESNOARE YOU AUTHORIZED TO WORK IN THE UNITED STATES?YESNOI-9 acceptable documents will be required upon employment offer and must be unexpired. Employment eligibility is verified through E-VerifyARE YOU CURRENTLY EMPLOYED?YESNOMAY WE CONTACT YOUR PRESENT EMPLOYER FOR REFERENCES?YESNOWHAT IS YOUR DESIRED SALARY RANGE? Selected Value: 0 ON WHAT DATE ARE YOU AVAILABLE TO WORK?EDUCATIONHIGH SCHOOL (NAME/ADDRESS)DIPLOMA/DEGREE YESNOTECHNICAL SCHOOL (NAME/ADDRESS)DIPLOMA/DEGREEYESNOCOLLEGE (NAME/ADDRESS)DIPLOMA/DEGREEYESNOOTHER SCHOOL (NAME/ADDRESS)DIPLOMA/DEGREEYESNOEMPLOYMENT EXPERIENCE1. EMPLOYERDATES EMPLOYEDFROMDATES EMPLOYEDTODESCRIPTION OF WORK PERFORMEDAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneSUPERVISORREASON FOR LEAVING——————————————————-2. EMPLOYERDATES EMPLOYEDFROMDATES EMPLOYEDTODESCRIPTION OF WORK PERFORMEDAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneSUPERVISORREASON FOR LEAVING RESUME UPLOADREFERENCESPLEASE GIVE NAME, ADDRESS & TELEPHONE NUMBER OF (3) BUSINESS REFERENCES WITH NO RELATION TO YOUDISCLAIMER & SIGNATUREI certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at a employment decision. I hereby acknowledge that unless otherwise defined by applicable law, any employment relationship with Food Authority is of an “at will” nature, which means the employee may resign at any time and the employer may discharge employee at any time with or without cause. It’s further understood that this “at will” employment may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. I understand that any offer of employment that I receive from Food Authority is contingent upon my providing Food Authority with all information requested and my successful completion of the pre-employment screening process, including, at the Company’s discretion: drug screen, background check, and employment references, as applicable; and proof of eligibility to work in the United States. 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.SIGNATURE OF APPLICANTDateSubmit