1
Step 1
Barrels and Bins Application for Employment
Personal Information:
Name
your full name
Address
Current street address or PO box
City
State or Province
Country
Zip or Postal Code
Phone Number
Primary
Phone Number
Alternate
Email
email
Best Method of Contact
How would you like us to contact you?
Application Information:
Earliest Date you can Begin Employment
date_range
Latest Date to end Employment
we typically ask for a 6 month minimum commitment
date_range
Select the Positions you are Applying for:
Floor/Cashier
Juice Bar
Truck Crew
Produce Department
Night Re-Stocking and Expiration
Select your Availability
Full-Time
Part-Time
Select the times you are available to work:
Weekdays?
YES
NO
Weekends?
YES
NO
Any Shift?
YES
NO
Education Information:
Are you 19 years of age or older?
YES
NO
Date of Birth
mm/dd/yyyy
Have you ever been convicted of a felony, or, within the last five years, or a misdemeanor?
YES
NO
If yes, please state the date of the conviction and the nature of the offense.
A conviction will not necessarily bar employment, but may get a criminal background check on any applicant who we are seriously considering for employment.
0
/
High School:
School Name
Location
Did you Graduate?
YES
NO
College:
School Name
Location
Did you Graduate?
YES
NO
Degree
Specialized Training/Other:
School Name
Location
Did you Graduate/Complete the Training?
YES
NO
Current or Most Recent Employer:
Employer Name
Position Title
Job Duties
Salary/Wage
Start Date
mm/dd/yyyy
End Date
mm/dd/yyyy
Reason for Leaving
Address
Mailing address of employer
City
State or Province
Zip or Postal Code
Phone
employer phone
Supervisor Name
Supervisor Email
email
What did you like best about this job?
0
/
What did you like least about this job?
0
/
Second Previous Employer:
Employer Name
Position Title
Job Duties
Resume:
If you have a resume, please attach
File
upload
cloud_upload
Upload
Submit Application
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