Associated Grocers Application Sample

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EMPLOYMENT APPLICATION ASSOCIATED GROCERS OF THE SOUTH, INC. 3600 VANDERBILT ROAD, BIRMINGHAM, AL 35217, P.O. BOX 11044, BIRMINGHAM, AL 35202 HUMAN RESOURCES DEPARTMENT (205)808-4832 Associated Grocers is an equal opportunity employer that does not discriminate against any applicant because of race, color, national origin, religion, gender, sexual orientation, age, disability or for any other protected status. This application must be completed in its entirety. Incomplete applications will not be considered. Please write legibly. PERSONAL INFORMATION 07 10 2013 Date _______/________/________ Anderson Rodriquez Name_____________________________________________________________________________________ First Middle Last 502 6th Ave N Bessemer AL 35020…show more content…
__________ no Do you speak Spanish? __________ EMPLOYMENT DESIRED Order Filler/inventory Position: ________________________ regular Regular or Part-time? ____________________________________ 07/11/2013 What date can you start? ________________________ 2nd Preferred Shift: 1st 2nd 3rd Any ______________ no no Are you currently employed? ______ May we inquire of your present employer? ________________________ not presently employed. If “no”, explain: ____________________________________________________________________________ no Have you ever been employed at Associated Grocers? ______ If “yes”, provide date of employment, position(s) held and reason for leaving: __________________________________________________________ __________________________________________________________________________________________ MILITARY

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