As a term and condition of employment, Boney’s Marketplace requires all applicants to be drug-free. As a part of a conditional offer of employment, all otherwise successful job applicants will be required to successfully pass a drug/alcohol screening test. Minors must have parental consent.

General Information
POSITION(S) APPLIED FOR  
DATE  
NAME  
ADDRESS
SOCIAL SECURITY NUMBER  
TELEPHONE NUMBER  
E-MAIL ADDRESS  
If necessary, the best time to call you at home is  
May we leave a massage on your answering machine?
   
If under 18, can you furnish a work permit?
   
May we contact you a work?
   
Have you filed an application with Boney’s
Market place before?
   
If yes please indicate when? Where?
   
Have you ever been employed by Boney’s
Market place before?
   
If yes, give dates From
   To   
Do you currently have a family member employed
by Boney’s Marketplace?
 
Are you eligible for employment in this country?
 
Minimum salary requirement $  
 
Type if employment desired
     
Desired Shift
                   
Days/Hours Available
Man
Wed Thu Fri
Sat
Sun
From
To
Are you willing to work overtime
   
Have you ever been convicted of a felony?
   
If yes, please explain and provide date of conviction (Conviction of a felony will not necessarly result in automatic disqualification)
Have you ever been convicted of any crime involving thefr or dishonesty?
   
If yes, plese explain
Driver’s License Number(If applying for a deliver of sales postion)
State issued
Are you able to perform the esential functions of the job applied for with or without reasonable accommodation?(If the position is not presently identified, you need not reply.)
   
If no, please explain

Educational Background and Skills
Education
School Name
No. years Completed
G.P.A
Major
Minor
College
 
 
 
 
 
High School
 
 
 
 
 
Other
 
 
 
 
 
Skills and qualifications Summarize customer services skills, computer skills and qualifications acquired from employment or other experience that may qualify you to work our company (attach additional sheets if necessary.
Employment History
List all you employers, during the past 10 yests, starting with the most recent. Please explain any gaps in employment in the comments section below.
Employer
Telephone
Dates employed From   To 
Summarize the type of business and your job
responsibilities
Address, street, city, state, zip
Job Title
Starting hourly rate/salary $
Final hourly rate/salary $
Immediate supervisor & title
Telephone
Reason for leaving
May we contact supervisor for reference?
   
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Employer
Telephone
Dates employed From   To 
Summarize the type of business and your job
responsibilities
Address, street, city, state, zip
Job Title
Starting hourly rate/salary $
Final hourly rate/salary $
Immediate supervisor & title
Telephone
Reason for leaving
May we contact supervisor for reference?
   
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Employer
Telephone
Dates employed From   To 
Summarize the type of business and your job
responsibilities
Address, street, city, state, zip
Job Title
Starting hourly rate/salary $
Final hourly rate/salary $
Immediate supervisor & title
Telephone
Reason for leaving
May we contact supervisor for reference?
 
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Employer
Telephone
Dates employed From   To 
Summarize the type of business and your job
responsibilities
Address, street, city, state, zip
Job Title
Starting hourly rate/salary $
Final hourly rate/salary $
Immediate supervisor & title
Telephone
Reason for leaving
May we contact supervisor for reference?
 
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Reference
List three professional references we may contact
Name
 Title Telehone Number
 
 
 
Comments Section(including explanation of any gaps in employment)