Palace Application PALACE SUPERMARKET EMPLOYMENT APPLICATION We are an equal employment opportunity employer. We do not discriminate on the basis of race, color, creed, religion, ancestry, marital status, gender, gender identity, pregnancy, sex, sexual orientation, national origin, political affiliation, military status, age, or mental/physical disability, or any other protected status in accordance with applicable federal, state, and local laws. APPLICANT INFORMATION*********Are you at least 18 years old?*YesNoThose hired under 18 will be required to obtain a work permit.Are you applying for:* Full Time Part Time Are you legally authorized to work in the United States?*YesNoForeign languages spoken/writtenDo you have reliable transportation?*YesNoHave you ever worked for this company?*YesNoHave you ever been convicted of a felony?*YesNoAre you able to perform the essential functions of the position for which you are applying either with or without reasonable accommodations?YesNoAvailability Schedule:EDUCATIONFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoFrom Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Did you graduate?YesNoREFERENCES Please list two professional references.PREVIOUS EMPLOYMENT Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY May we contact your previous supervisor for a reference?First ChoiceSecond Choice Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY May we contact your previous supervisor for a reference?YesNoHave you ever been terminated or asked to resign from any job?YesNoIf yes, please explain the circumstances:MILITARY SERVICE Date Format: MM slash DD slash YYYY Date Format: MM slash DD slash YYYY DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
