Please Note:
All items marked with a "*" are required and must be filled in before your application will be sent.
* Name
* Email Address
* Address
* Home Phone
* City
* State
Select State
NJ
NY
CT
PA
* Zip + 4
+
Do any of your relatives currently work for this company?
No
Yes
If so, Please give their name.
Do you attend school?
No
Yes
Are you 18 or over?
No
Yes
If No, Do you have working papers?
No
Yes
Availability for Employment:
Full Time
Part Time
Summer
* Position Applied for:
Please Choose a Job
Bakery Manager
Baker
Bakery Clerk
Bookkeeper
Cashier
Dairy Manager
Dairy Clerk
Frozen Food Clerk
Deli Manager
Deli Clerk
Floral Manager
Floral Clerk
Scanning Coordinator
Grocery Manager
Grocery Night Crew Clerk
Grocery Clerk
GM/HBC Clerk
Meat Manager
Meat Cutter/Butcher
Meat Wrapper
Pharmacist Manager
Pharmacist
Pricing Coordinator
Produce Manager
Produce Clerk
Receiver
Seafood Manager/Captain
Store Porter
* Position Applied for:
Please Choose a Job
Bakery Manager
Baker
Bakery Clerk
Bookkeeper
Cashier
Dairy Manager
Dairy Clerk
Frozen Food Clerk
Deli Manager
Deli Clerk
Floral Manager
Floral Clerk
Scanning Coordinator
Grocery Manager
Grocery Night Crew Clerk
Grocery Clerk
GM/HBC Clerk
Meat Manager
Meat Cutter/Butcher
Meat Wrapper
Pharmacist Manager
Pharmacist
Pricing Coordinator
Produce Manager
Produce Clerk
Receiver
Seafood Manager/Captain
Store Porter
* Store You Wish to Work in:
Please Choose a Store
Cedar Grove
Paterson
Haledon
North Haledon
Previous Employment (Including Military Service)
Begin with Most Recent Employer
Name of Employer (Most Recent)
Address
Supervisor's Name & Phone No.
From Mo. & Yr.
To Mo. & Yr.
Hourly Pay
Type of Work Performed
Reason for Leaving
Name of Employer
Address
Supervisor's Name & Phone No.
From Mo. & Yr.
To Mo. & Yr.
Hourly Pay
Type of Work Performed
Reason for Leaving
Name of Employer
Address
Supervisor's Name & Phone No.
From Mo. & Yr.
To Mo. & Yr.
Hourly Pay
Type of Work Performed
Reason for Leaving
Were you ever discharged from employment?
No
Yes
Employer
Reason for Discharge
Previous Nicholas Markets or Other Supermarket Employment
From Mo. & Yr.
To Mo. & Yr.
Position & Store
Reason for Leaving
Education
High School
No. of Years
College
No. of Years
Did you receive a degree?
No
Yes
Major Course
Were you ever convicted of a felony?
No
Yes
If Yes. Please give details (Dates, Place, Charges, Etc.)
(Conviction will not nessarily result in failure to hire.)
I authorize all corporations, credit agencies, educational institutions, persons, law enforcement agencies and former employers to release information they may have about me and I release them from any liability and responsibility from doing so. This authorization, in original or copy form, shall be valid for this and any future information.
Hours Available to Work
* Monday -
From
To
* Tuesday -
From
To
* Wednesday -
From
To
* Thursday -
From
To
* Friday -
From
To
* Saturday -
From
To
* Sunday -
From
To
Your comments.
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