Name
Email
Primary Telephone
Secondary Telephone
Street
City
State/Zip Code
Telephone
Relationship
Position(s) Applied for
CashierStockingCafeProduceWellnessManagement
Desired Salary/Hourly Rate
Hours
Full TimePart Time
Preferred shifts/week
12345
Days Available
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Basil Bandwagon Natural Market is a retail store, therefore you may be scheduled to work weekends, nights and holidays.
Locations Available (select all that apply)
ClintonFlemingtonLambertville
Date at which you can start work if hired
Have you previously applied to Basil Bandwagon Natural Market?
YesNo
Have you previously worked at Basil Bandwagon Natural Market?
If yes, provide dates of employment and reason(s) for separation
Are you 18 or older?
If under the age of 18, can you produce the necessary work certificate at the time of employment?
yesno
Are you either a US citizen or legally authorized to work in the United States?
Name and Location
Course of Study
Graduate?
Years Completed
Degree/Major
List all special skills that you feel qualify you for the position for which you are applying. (For example: computer programming, knowledge of the industry, special tools or equipment, etc.)
Please list the names of your present and/or previous employers in chronological order with present or last employer listed first. Account for ALL periods of time including any period of unemployment. If self-employed, supply firm name and business references.
1. Employer Name
Address
Start Date
End Date
Duties (Please be specific)
Supervisor's Name
May we contact?
If not, why not?
Starting Wage
Ending Wage
Reason for Leaving
2. Employer Name
3. Employer Name
What skills have you developed in your previous jobs or outside of work that relate to the job for which you are applying?
What customer service and or retail skills would you bring to Basil Bandwagon?
What is your experience with natural foods?
Why would you like to work at Basil Bandwagon Natural Market?
Please list the names of personal references (not previous employers or relatives) you know well that we may contact.
1. Name
Occupation
Years Known
2. Name
3. Name
This company is an at-will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company may terminate the employment relationship at any time, for any reason, with or without cause or notice.
