• Full Name
• Email
• Phone Number
• Preferred Name
• Preferred Pronouns (None) she/her/hershe/him/histhey/them/theirs
• Address
• For what positions are you applying?
• Person referred by
• Are you 18 years or older? YesNo
• Are you applying for Full-Time or Part-Time Full-timePart-time

Education

• High School
• Year Graduated

• College/ University
• Major Studies
• Year Graduated

• Vocation/Business Certificate

• Other

Skills & Experience

Please elaborate on any special experience, skills, grocery or natural foods industry-related knowledge or qualifications you think would work well with Grubb’s Grocery.

• Skills & Experience

Current or Most Recent Employer

• Company
• City
• Is This Your Current Employer? YesNo
• Dates of Employment
• Position
• Reason for leaving (if no longer there)
• What are/were your primary duties and responsibilities?
• May we contact this employer? YesNo
• Supervisor’s Name
• Phone Number

Next Recent Employer

• Company
• City
• Dates of Employment
• Position
• Reason for Leaving
• What were your primary duties and responsibilities?
• May we contact this employer? YesNo
• Supervisor’s Name
• Phone Number

Next Recent Employer

• Company
• City
• Dates of Employment
• Position
• Reason for Leaving
• What were your primary duties and responsibilities?
• May we contact this employer? (None) YesNo
• Supervisor's Name
• Phone Number

In Your Own Words

• What do you consider to be your best traits?
• Why should Grubb’s Grocery hire you?

We are open seven days a week, excluding select holidays, which are always communicated in advance. So that we will know where you may best fit, please list any days and hours are you not available to work. Also include all days and/or hours you think might possibly be a scheduling conflict. Please know that we are a retail business that is open seven days a week and limited availability may affect your employment eligibility.

• I will not be able to work these days:
• I will not be able to work these hours:
• These days/hours are possible scheduling conflicts and we will need to discuss:
• Comments:

Authorization & Consent

• Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by court? NoYes (A “yes” response does not automatically disqualify your application.)
• Have you ever been discharged (terminated) by a former employer? NoYes
• Optional: Upload your resume

  Select a File

I authorize Grubb’s Grocery to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to Grubb’s Grocery and will hold Grubb’s Grocery and my former employer harmless from any claim made on the basis that such information about me was provided or, that any employment decision was made on the basis of such information. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with Grubb’s Grocery, is intended to create an employment contract between myself and Grubb’s Grocery. On the contrary, I understand and agree that if hired, my employment may be terminated by Grubb’s Grocery at any time and for any reason whatsoever.

If employed, I will be required to provide original government-issued documents that verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.

• I hereby acknowledge that I have read and agree to the above statements. YesNo
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