Food Authority Job Application


Food Authority Logo

Employment Application

Tel.: 516.887.0500 • Fax: 516.887.0573
Email: jobinfo@foodauthority.com

FOOD AUTHORITY is an equal opportunity employer and considers applicants for positions on the basis of qualifications without regard to race, religion, national origin, age, sex, marital status, disability or sexual orientation.

POSITION APPLYING FOR: 

WHERE DID YOU HEAR ABOUT US? 

LAST NAME: 

FIRST NAME: 

MIDDLE NAME: 

ADDRESS: 

PREVIOUS ADDRESS (IF LESS THAN 5 YEARS): 

HOME PHONE: 

CELL PHONE: 

EMAIL ADDRESS: 

WHAT IS THE BEST TIME TO CONTACT YOU AT HOME? 

WHEN ARE YOU AVAILABLE TO WORK: 

 

PLEASE INDICATE YOUR AVAILABLE DATES: 

DO YOU KNOW ANYONE WHO CURRENTLY WORKS FOR FOOD AUTHORITY? 

IF YES, ENTER THEIR NAME: 

HAVE YOU EVER SUBMITTED AN APPLICATION WITH OUR COMPANY BEFORE? 

HAVE YOU EVER BEEN EMPLOYED WITH OUR COMPANY BEFORE? 

ARE YOU AUTHORIZED TO WORK IN THE UNITED STATES? 
(I-9 DOCUMENTS WILL BE REQUIRED UPON EMPLOYMENT OFFER-WE E-VERIFY

ARE YOU CURRENTLY EMPLOYED? 

MAY WE CONTACT YOUR PRESENT EMPLOYER FOR REFERENCES?   

WHAT IS YOU DESIRED SALARY RANGE? 

ON WHAT DATE ARE YOU AVAILABLE TO WORK? 

EDUCATION

HIGH SCHOOL (NAME/ADDRESS).

DIPLOMA/DEGREE? 

If no what’s the last grade completed?   

TECHNICAL SCHOOL (NAME/ADDRESS).

DIPLOMA/DEGREE? 

How many years did you attend? 

COLLEGE (NAME/ADDRESS).

DIPLOMA/DEGREE? 

Major course of study.

EMPLOYMENT EXPERIENCE
START WITH YOUR PRESENT OR MOST RECENT POSITION

1. EMPLOYER.

ADDRESS: 

TELEPHONE NUMBER: 

SUPERVISOR: 

REASON FOR LEAVING? 

DATES EMPLOYED:         

DESCRIPTION OF WORK PERFORMED: 

2. EMPLOYER.

ADDRESS: 

SUPERVISOR.

REASON FOR LEAVING? 

DATES EMPLOYED:           

DESCRIPTION OF WORK PERFORMED.

3. EMPLOYER. 

ADDRESS: 

SUPERVISOR.

REASON FOR LEAVING? 

DATES EMPLOYED:         

DESCRIPTION OF WORK PERFORMED.

REFERENCES
PLEASE GIVE NAME, ADDRESS & TELEPHONE NUMBER OF (3) BUSINESS REFERENCES WITH NO RELATION TO YOU

REFERENCE 1:   

FULL NAME: 

ADDRESS: 

PHONE NUMBER: 

REFERENCE 2:   

FULL NAME: 

ADDRESS: 

PHONE NUMBER: 

REFERENCE 3:   

FULL NAME: 

ADDRESS: 

PHONE NUMBER: 

DISCLAIMER & SIGNATURE

I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I understand that any misrepresentations, omissions of facts or incomplete answers during the application process may disqualify me from further consideration for employment, I further understand that, if employed, any misrepresentations or omissions of fact during the application process may be cause for my dismissal at any time without prior notice.

I consent and authorize the Company and ADP Total Source to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment.

I further authorize the listed employers, schools and personal references to give the Company or ADP TotalSource (without further notice to me) any and all information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference. I hereby acknowledge that unless otherwise defined by applicable law, any employment relationship with Food Authority is of an “at will” nature, which means the employee may resign at any time and the employer may discharge employee at any time with or without cause. It’s further understood that this “at will” employment may not be changed by any written documentation, custom, practice, policies, handbook or manuals or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization or by the President of ADP TotalSource.

I understand that any offer of employment that I receive from Food Authority is contingent upon my providing Food Authority with all information requested and my successful completion of the pre-employment process including background check, employment references, and receipt of completed I9 with supporting documents.

I understand that I may be required to qualify for employment based on additional employment criteria. For example, I may be required to take job-related tests; take a driver’s examination or take a pre-employment drug test. If I am offered employment or star work before any required test is completed, I understand that my employment is contingent on a satisfactory result on all required tests. I authorize the Company and ADP Total Source to release the results of my pre-employment drug/alcohol test (if any), any information on this application and any relevant information about me to each other and to other ADP TotalSource clients for whom I have applied for employment, and release the Company, ADP Total Source and its’ clients from any and all claims related to the lawful release of this information. I further authorize the release of any background check results and of any drug/alcohol test to any state or federal authority requesting such information and in response to a valid subpoena or other legal document.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Employer.

 

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Food Authority Job Application
lock iconUnique Document ID: 8d8576147f7f286473a7f358469b3b8c22e430e8
Timestamp Audit
March 3, 2022 3:44 pm EDTFood Authority Job Application Uploaded by Scott Aadal - hello@sparkfactory.io IP 68.111.99.28
Audit trial Qr code
This audit trail report provides a detailed record of the online activity and events recorded for this document.
https://esign.city/
Audit Trail Serial# 9d88aea04fd74e6241a9ab01f1fe4e0e