PLEASE FILL OUT THIS FORM IF YOU ARE INTERESTED IN A POSITION AT A "LOS COMPADRES MEAT MARKET" STORES, THEN IN THE INTERNET EXPLORER BROWSER SELECT "FILE" THEN CLICK ON "PRINT"... SIGN IT , SEND IT BY MAIL OR BRING IT UP TO OUR MAIN STORE AT 1110 E, CHARLESTON BLVD. LAS VEGAS NV. 89104 TEL: (702) 307-0814
LOS COMPADRES MEAT MARKET APPLICATION FORM
NOTE: ALL FIELDS WITH * MUST BE FILLED OUT.
FIRST NAME *
LAST NAME *
ADDRESS *
CITY *
STATE *
ZIP *
PHONE *
CELL *
EMAIL *
ARE YOU EITHER A U.S. CITIZEN OR AUTHORIZED TO WORK IN THE UNITED STATES?
DESIRED POSITION
BAKERY
CASHIER
DELI
DRIVER
GROCERY
HUMAN
MAINTENANCE
MANAGEMENT
MEAT
PRODUCE
WAITRESS
WAREHOUSE
ARE YOU INTERESTED IN
F/T
P/T
EITHER
DATE AVAILABLE
SALARY DESIRED
ARE YOU CURRENTLY WORKING?
CAN WE CONTACT YOUR PREVIOUS EMPLOYER?
HAVE YOU PREVIOUSLY BEEN EMPLOYED WITH "LOS COMPADRES MEAT MARKET?
DO YOU HAVE ANY FAMILY MEMBERS WORKIN AT"LOS COMPADRES MEAT MARKET?
IF SO, WHEN?
IF SO, WHO?
EDUCATION
HIGH SCHOOL
COLLEGE
CERTIFICATIONS
OTHER COURSES
SCHOOL NAME
YEAR
GRADUATION DATE
SUBJECT STUDIED
GENERAL
WHAT LOCATION WOULD YOU LIKE TO WORK AT?
DO YOU HAVE HEALTH CARD?
A TAM CARD?
A SHERIFFS CARD?
MILITARY?
RANK?
ACTIVE MEMBER?
PREVIOUS EMPLOYMENT *(PLEASE PLACE AN "N/A", IF NO INFORMATION IS ENTERED HERE
1.FROM
COMPANY NAME
SALARY
POSITION
REASON TO LEAVE
TO
DATE
2.FROM
3.FROM
4.FROM
TO
TO
TO
REF.1
REF.2
REF.3
REF.4
NAME
PHONE NUMBER
ADDRESS
YEARS KNOWN
REFERENCES
EMERGENCY CONTACT INFORMATION
NAME
PHONE NUMBER
ADDRESS
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.I Authorize investigation of all statements contained herein and references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understant and agree that representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws"
Pre-Employment Questionnaire Equal Opportunity Employer
Date_______________ Signature_________________________
Interviewed By_______________________ Date_________
LOS COMPADRES MEAT MARKET APPLICATION FORM
Pre-Employment Questionnaire Equal Opportunity Employer