come work for us!

Name *

First Name

Last Name

Phone *

(###)

###

####

Are you currently employed? *

yes

no

If yes, may we inquire of your present employer?

yes

no

If hired, can you supply the required documentation to verify your lawful right to work in the United States *

yes

no

What position are you interested in? *

Part-time

Full-time

Have you previously been employed at Kaune's? *

yes

no

Have your suffered any injury that interferes with your ability to perform the functions of the job for which you are applying? *

yes

no

Preferred Start Date

MM

DD

YYYY

Do you have your NM Alcohol Server Certificate

Option 1

Option 2

Have your recieved any citations for alcohol serving violation? *

yes

no

I certify that the foregoing information is true and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient to eliminate me from consideration for employment, or may result in my immediate discharge from Kaune's Neighborhood Market whenever it is discovered. I authorize investigation of all statements contained in this Application. I further authorize investigation of the references listed above and inquiry of all my former employers and with my signature below, I consent to the release by my references and my former employers of any and all information concerning my previous employment and any pertinent information personal or otherwise. I hereby release all disclosing parties from liability for any damage that may result from furnishing such information to Kaune's Neighborhood Market. I further acknowledge that I will be required to submit to a post-offer, pre-employment drug/alcohol screen. I understand that any employment offer will be revoked and I will be eliminated from consideration for employment if my drug/alcohol screen is positive or irregular in any respect. In consideration of my employment, if hired, I agree to conform to the current and future rules and regulations of Kaune's Neighborhood Market. If hired, my employment will be "at will," which means that my employment and compensation can be terminated, with or without cause, and with or without advance notice, at anytime, at the option of either Kaune's Neighborhood Market or me. I understand that no supervisor or representative of Kaune's Neighborhood Market, other than the President of the Company, has any authority to enter into any agreement for employment for any specified period of time, or to make any arrangements contrary to the foregoing statement. *

By clicking yes, you certify and sign that the above information is correct

yes

no