Job Application

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Please fill out and submit the form below. We’ll be in touch shortly.

Basil Bandwagon is a great place to work

Basil Bandwagon Natural Market, stocking dairy section

Contact Information

Name

Email

Primary Telephone

Secondary Telephone


Present Address

Street

City

State/Zip Code


Previous Address

Street

City

State/Zip Code


Emergency Contact

Name

Telephone

Relationship


Position

Position(s) Applied for

Desired Salary/Hourly Rate

Hours
Full TimePart Time

Specify Hours

Basil Bandwagon Natural Market is a retail store, therefore you may be scheduled to work weekends, nights and holidays.

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?
YesNo

If yes, provide dates of employment and reason(s) for separation

Are you 18 or older?
YesNo

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?
yesno


Education & Skills

High School

Name and Location

Course of Study

Graduate?
YesNo

Years Completed

Degree/Major


College

Name and Location

Course of Study

Graduate?
YesNo

Years Completed

Degree/Major


Business/Trade/Tech/Post College

Name and Location

Course of Study

Graduate?
YesNo

Years Completed

Degree/Major


Military /Public Service (AmeriCorp, Peace Corp.)

Name and Location

Course of Study

Graduate?
YesNo

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.)


Work Experience

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

Telephone

Start Date

End Date

Duties (Please be specific)

Supervisor's Name

May we contact?
YesNo

If not, why not?

Starting Wage

Ending Wage

Reason for Leaving


2. Employer Name

Address

Telephone

Start Date

End Date

Duties (Please be specific)

Supervisor's Name

May we contact?
YesNo

If not, why not?

Starting Wage

Ending Wage

Reason for Leaving


3. Employer Name

Address

Telephone

Start Date

End Date

Duties (Please be specific)

Supervisor's Name

May we contact?
YesNo

If not, why not?

Starting Wage

Ending Wage

Reason for Leaving


Additional Information

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?


Personal References

Please list the names of personal references (not previous employers or relatives) you know well that we may contact.

1. Name

Occupation

Address

Telephone

Years Known


2. Name

Occupation

Address

Telephone

Years Known


3. Name

Occupation

Address

Telephone

Years Known


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.