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Application for Employment

Personal Information

Desired Position

Educational Background

School Name & Location
High School
Business or Trade School

Employment History

Month & Year
Name of Company
Address of Company
Position Held
Reason for Leaving
Add New Row

Hours Available to Work

NOTE: A conviction will not necessarily disqualify you from employment


Give the names of three persons not related to you, whom you have known at least 1 year.
Type of Business
Years Known


I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews may be grounds for my immediate discharge.

I hereby authorize Hill's Food Center, Inc. to contact any company or individual it deems appropriate to investigate my employment history, character and qualifications and give my full and complete consent to their revealing any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statements.

I agree that, if I am employed, I will abide by all the rules and regulations of Hill's Food Center, Inc. I understand that the taking of drugs and alcohol tests, when given pursuant to company policy, are a condition of continued employment and refusal to take such tests when asked will be grounds for my immediate termination. I further understand that nobody in the Company is authorized to enter into any written or verbal employment contracts with me for any definite period of time without the express consent of the President of Hill's Food Center, Inc. I also understand that my employment is "at will" and may be terminated by myself or by the company at any time for any reason or no reason at all, with or without prior notice.

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