Parkside Store

Your Information

Address

Other Information

Is your citizenship or immigration status such that your can lawfully work in the U.S.?*

Yes

No

Are you looking for a Full Time position, or a Part Time position?*

Full Time

Part Time

Any

In the event you are required to use your personal or company automobile to conduct company business, please complete the following:

Do you have a valid driver’s license?*

Yes

No

If yes, indicate:

Do you have current liability insurance?*

Yes

No

Availability

List hours available to work per week.

Check if available anytime

Check all times you would be willing to work:

Holidays

Sundays

Day Shift (8am-4pm)

Evening Shift (4pm-11pm)

Other

Are you available to work all summer including, the 3rd week of June until the 3rd week of August? Also, Memorial Day weekend, the week of the 4th of July, and Labor Day Weekend?*

Yes

No

Days Off*

Because of the nature of our business we need ALL SPECIFIC DATES that you may not be available to work this summer. Please be very detailed, for example if you need time off for a wedding, is it just for the wedding, the rehearsal and the wedding or is it out of town and you need travel time? The sooner we know of the specifics, the easier it is to arrange for your days off. (Any specific dates asked for at a later time will not be given off)

Here are some examples of frequently asked for days off, please be sure to include any other times that pertain to you.

Football Camp
Band Camp
Sporting Events (i.e. Gus Macker, etc)
Family Vacations
Weddings
County Fair
Family Reunions
Concerts
Any specific dates in May, June, July, August, or September

Rate Yourself

1 = Improvement Needed, 2 = OK, 3 = Good, 4 = Top Performer

Energy Level - Your sense of urgency, self-motivation, and enthusiasm.*

Communication skills - Your ability to listen well, express ideas clearly and accept feedback.*

Hospitality - Your natural friendliness and customer service skills.*

Reliability - Your dependability, attendance, self-discipline, and dedication.*

Personal Pride - Your appearance, hygiene and achievement.*

Teamwork - Your cooperation with others and team spirit.*

How would you rate your additions skills?*

Do you know how to accurately count change back?*

Record of Education

High School

College/ VO Tech

Past Employment

Company 1 - Present or most recent employer

May we contact?

Yes

No

Company 2

May we contact?

Yes

No

References

Please list the names of 3 persons whom you have known for at least one year. Do not include relatives

Reference 1

Reference 2

Reference 3

Background

Are you 18 years of age or older?*

Yes

No

Have you ever been convicted or plead guilty to any crime involving violence to another person?*

Yes

No

Have you ever been convicted or pled guilty to any crime involving dishonesty, theft, fraud, or embezzlement?*

Yes

No

Have you ever been convicted or pled guilty to any sexual crimes including rape, assault or involving minors?*

Yes

No

Have you ever been convicted or pled guilty to any crime involving distribution or intent to distribute illegal drugs or other controlled substances?*

Yes

No

Have you ever been counseled or disciplined for cash handling violations?*

Yes

No

Can you perform the essential functions of this job, with or without accommodations?*

Yes

No

In the following 3 fields below, please indicate the jobs in which you’ve had experience and equipment you can operate. Indicate time spent in each area (Years, months, weeks):

Please list your interest, career goals and expectations:

Non-Negotiables

Be friendly and courteous
Must be clean and well groomed
Have the desire to serve people
Enjoy creating happiness for people
Enjoy and have the desire to work as part of a team
Be responsible for scheduled work times
Be available for weekends and holidays during the season (May-September)
Dress in clean, approved, provided uniforms (including name tag)
Earrings, piercings, and tattoos worn will be minimal and tasteful
Visible body rings are prohibited
Be free of illegal drugs
Adhere to laws governing sales of alcohol and tobacco
Be honest and accurate in work habits
Perform job functions as required
Enjoy performing a variety of tasks

Are you able to comply with the Non-Negotiables listed above?

Yes

No

Agreement

By submitting this form, you (the applicant) agrees to the following:

This application will be given every consideration, but its receipt does not imply that the applicant will be employed.

I am presenting information that is true and correct to the best of my knowledge, and I understand that any falsification or misrepresentation herein could result in my discharge in the event I am employed by Parkside Store. I authorize investigation of all statements made in this application, authorize full disclosure of my work performance and conduct by my present or any former employer, regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history. I release all parties from any claims, or liability for any damage that may result from furnishing such information.

I understand that Parkside Store cannot guarantee work hours and that as business conditions dictate; I may be required to work hours or perform job duties other than those for which I was originally employed. I further understand and agree that if I am employed by Parkside Store, such employment is for no fixed period of time, and that Parkside Store may terminate my services at any time for any reason or no reason at all. Any agreement altering the at-will nature of the employment relationship must be in writing and signed by myself and the manager of Parkside Store.

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