© 2006 Sendik's Food Markets, All rights reserved.
Sendik's Food Markets
Sendik's Food Market
Online Application For Employment
Name - First Middle Last
Present Address
Permanent Address (If Differnt than above)
Email Address
Home Phone Number
Cell Phone Number
Social Security Number
 Desired Wage
Position Applying For at Sendik's
Sendik's Location You Prefer to work at
 1 Choice
2 Choice
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Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment
authorization and identity (valid driver's license, birth certificate, Green Card, etc.) within three days of being hired. Failure to
submit such proof within the required time shall result in immediate employment termination.
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Are you legally authorized to work in the United States?
 Are you at least 18 years old?
*If you are under 18 years old you must obtain a work permit before you can start working.
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Are you known by any other names or nicknames?
 If “yes” please specify:
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Do you have any relatives who are presently (or have formerly been) employed by Sendik's?
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How were you referred to Sendik's?
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Have you ever been convicted of a felony?
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Educational History:
School
Name/Location
Course of Study
# of Years
Completed
Degree
High School
College
Graduate
Other (Please Specify)
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Employment Record: Please include all employment for the last five years.
Company Name (Current/Most Recent Employer)
 Telephone
Address
 Dates of Employment
Position Held
 Rate of Pay
Manager/Supervisor
 Reason for Leaving May we contact this
employer?
Company Name
 Telephone
Address
 Dates of Employment
Position Held
 Rate of Pay
Manager/Supervisor
 Reason for Leaving
Company Name
 Telephone
Address
 Dates of Employment
Position Held
 Rate of Pay
Manager/Supervisor
 Reason for Leaving
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Work Availability: Please indicate the hours you are able to work each day of the week.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hour many hours would you like to work in a regular week?
If your application receives favorable consideration, when will you be available to begin work?
Do you have any objection to working overtime?
Can you work overtime without prior notice?
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I certify that all the statements made by me on this application for employment are true, correct, and complete to the best of
my knowledge. I further give permission to all current or previous employers and/or managers or supervisors to discuss my
relevant personal and employment history with Sendik's.

Typing your name here counts as your signature
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Balistreri Owned & Operated Seal
Whitefish Bay - Wauwatosa - Mequon - Grafton
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