Appointments 1 — Liberty Mart

Come Join us at Liberty Mart

Email us a Filled-out Application at applications@libertymart.net from the Download Application Button, or Fill Out our Online Application Below

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Put “N/A” in required boxes if not applicable

Application Date

YYYY

Which Location Are You Applying For?

Applicant Info

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date Available

YYYY

SSN

Date of Birth

Month and Year Only

Desired Salary

Position Applied For

Can You Work in Deli

Are You Citizen of the United States?

If no, Are you Authorized to work in the U.S.?

Have You Worked for us Before?

If yes, When?

Have you ever Been convicted of a felony

If yes, Why?

Have you Ever been Arrested

If Yes, Why?

Do you have any serious disease of addiction?

if Yes, What?

Education

High School Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date

YYYY

End Date

YYYY

Did you Graduate?

Diploma

College Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date

YYYY

End Date

YYYY

Did you graduate?

Degree

Other

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date

YYYY

End Date

YYYY

Did You graduate?

Degree/Diploma/Certificate

Reference 1

Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Company

Reference 2

Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Company

Previous Employment

Company

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Supervisor Name

Job Title

Starting Salary

Ending Salary

List Responsibilities

Start Date

YYYY

End Date

YYYY

Reason for Leaving

May we contact previous supervisor for a reference?

Company

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Supervisor Name

Job Title

Starting Salary

End Salary

List Responsibilities

Start Date

YYYY

End Date

YYYY

Reason for Leaving?

May we contact previous supervisor for a reference?

Describe Yourself

What is Biggest Strength in your Personality?

What is Weakness in your Personality?

The biggest threat you see in your life

Terms and Conditions (type full name below each point to agree)

1. If you get hired, you will be on probation for 90 days and during probation the company has right to terminate your services with or without any reason.

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2. You agree to work on week days, week end, and public holidays.

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3. If you work on cash register and at end of shift if your drawer is short or over, the manager has right to take any disciplinary action against you.

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4. You agree that you will pay merchandise or food before using/consuming and that the receipt after payment will be with the daily paper work.

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5. If you take a check for a transaction and you must write the driver license number and the date of birth of customer. If the check is dishonored and you did not follow the rule, you will have to pay that amount.

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6. As per company policy you are not allowed to give cash back on checks or debit card, if you do so, company has right to terminate your services.

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7. If you show up late for three or more days in month, we have right to terminate your services.

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8. You agree that you will not smoke in the area of the cash register and counter.

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9. If you violate the rules and laws regarding taking EBT card and as a consequence the store faces a fine, you will have to pay that fine.

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10.You will be responsible for any fines and penalties for making lottery and tobacco transactions to under age customers.

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11.If there is drive off due your negligence, you will have to pay that balance.

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12.Working on cash register, is your shift is over, that will be considered short

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Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

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