[[[["field157","equal_to","Bloomfield Hills"]],[["email_to",null,"store4@hollywoodmarkets.com"]],"and"],[[["field157","equal_to","Madison Heights"]],[["email_to",null,"store1@hollywoodmarkets.com"]],"and"],[[["field157","equal_to","Rochester Hills"]],[["email_to",null,"store6@hollywoodmarkets.com"]],"and"],[[["field157","equal_to","Royal Oak"]],[["email_to",null,"store2@hollywoodmarkets.com"]],"and"],[[["field157","equal_to","Troy"]],[["email_to",null,"store3@hollywoodmarkets.com"]],"and"],[[["field157","equal_to","Store Management - Choose if applying for any store management position."]],[["email_to",null,"wesm@hollywoodmarkets.com"]],"and"]]
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Employment Application

"We are an equal opportunity employer."

This application will be kept on file for 6 months from date of application (for store to fill):  

Mgr­­­­­­­­­ _________________________________________  

Date ________________________

(NOTE: If you feel that your civil rights would be violated by answering a question on this form, please omit the answer to that question with a hypen (-).)

Date
Unit
Name
Address
Home/Cell Phone Number
Other Phone Number
Choose One:
For those applying to Management ONLYWhich store are you applying to?

Please insert times on each day you would be available to work below.

Mon
Tues
Wed
Thurs
Fri
Sat
Sun
How soon would you be available to work?
Are you 14 or older?
Are you 16 or older?
Are you 18 or older?

U.S. ARMED FORCES HISTORY

U.S. Armed Forces Service
Branch of Service
From - To

GENERAL INFORMATION

GENERAL: List outside interests(Clubs, Organizations, Sports, Hobbies) Need not list any interests which would indicate your religious or ethnic background.
Have you ever been convicted of a crime?
If yes, please give full details.
0 /
INCASE OF ACCIDENT OR EMERGENCY PLEASE NOTIFY:Name, Relationship, Address, Phone Number

EDUCATION

ELEMENTARYSchool Name
Years Completed(i.e. 4-8)

HIGH SCHOOLSchool Name
Years Completed(i.e. 9-12)
Diploma
Describe course of study.
Describe special training, apprenticeship, skills, and extracurricular activities.List as many or as few as you would like.

COLLEGE / UNIVERSITYSchool Name
Years Completed(i.e. 1-4)
Degree
Describe course of study.
Describe special training, apprenticeship, skills, and extracurricular activities.List as many or as few as you would like.

GRADUATE / PROFESSIONALSchool Name
Years Completed(i.e. 1-3)
Degree
Describe course of study.
Describe special training, apprenticeship, skills, and extracurricular activities.List as many or as few as you would like.

Have you been employed by us before?
If yes, please give dates employed.
Have you ever been discharged from any position?
If yes, please explain.
0 /
Do any of your friends or relatives work here?
If yes, please list their names.

EMPLOYMENT EXPERIENCE / WORK HISTORY

Omit Military Service History – Give Present or Most Recent Position First

Information must be complete and accurate.

Start with your present or last employer. If you need more space, use an extra sheet of paper. If summer or part-time work, please indicate. If you were employed under a maiden or other name, please indicate that name by the employer.

EMPLOYMENT: May we request references from your present or past employers?

EMPLOYMENT EXPERIENCE #1Employer Name
Phone No.
Address
Type of Business
Date Hired
Date Left
SupervisorName/Title
Your Title & Duties
Starting Pay
Pay at Leaving
Reason for leaving
0 /

EMPLOYMENT EXPERIENCE #2Employer Name
Phone No.
Address
Type of Business
Date Hired
Date Left
SupervisorName/Title
Your Title & Duties
Starting Pay
Pay at Leaving
Reason for leaving
0 /

EMPLOYMENT EXPERIENCE #3Employer Name
Phone No.
Address
Type of Business
Date Hired
Date Left
SupervisorName/Title
Your Title & Duties
Starting Pay
Pay at Leaving
Reason for leaving
0 /

Is this a complete list of employment?
Are we granted permission to check all information?
If any, indicate by # any of the employers whom you do not want us to contact.(i.e. Employer Experience #1)

We are an equal employment opportunity company. We are dedicated to a policy of non-discrimination in employment on any basis, including race, creed, age, sex, religion, national origin, height, weight, marital status, or disability.

I certify that the information contained in this application is correct to the best of my knowledge and understand that deliberate falsification of this information is grounds for dismissal in accordance with this company’s policy. I authorize the references listed above to give you lawful information concerning my previous employment. I agree to undergo a character investigation and I agree to take an honest verification test in accordance with State and Federal laws upon reasonable suspicion of any and all discrepancies involving my work. I understand that no representative of the company except the President has the authority to enter into my agreement for employment for any specified period of time, nor am I obligated to work for the company for any specified period of time. The President’s agreement must be in writing.

I understand that my electronic signature below serves as my signature.
SignFull Name

IF HIRED, COMPLETE THE FOLLOWING

I HAVE RECEIVED A COPY OF HOLLYWOOD MARKETS RULES AND POLICIES.

SIGNED: _________________________________________

DATE:

I UNDERSTAND THAT MY REGISTER SHORTAGES WHICH EXCEED 50¢ WILL BE DEDUCTED FROM MY PAY.

Uncollected checks accepted without following Hollywood’s rules & policies will be deducted from my pay.

SIGNED: _________________________________________

DATE:

NOTE: This application will be kept current for six months. You need to complete another to be reconsidered after this date.

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