Information given on this application will be
used only for Days Market or D. Brothers Inc. for employment
purposes. No information will be sold, traded, or other
wise misused.
Days Market is an equal opportunity employer
and does not unlawfully discriminate on the basis of race,
color, national origin, creed, religion, gender, age, marital
status, family relationship, sensory, mental, or physical
disability or any other basis prohibited by applicable federal,
state, or local law. Please let us know if you need
accommodation in order to participate in the application
process.
Name:
Last:
First:
Middle:
Address:
City:
State:
Zip:
Home Phone:
Message Phone:
Email Address:
When is the best time to reach you?
Are you currently authorized to work for all employers in the
United States on a full-time basis?
Are you a minimum of 18 years of age?
Have you ever been convicted or pled no contest to any
criminal offense?
If yes, please indicate the nature of the offense, date,
court and disposition.
*Please note: A conviction will not necessarily
disqualify and applicant from employment.
Please list any relative(s) employed by Day's Market or D.
Brothers Inc.
Name:
Location:
Name:
Location:
Position Desired:
Wage Desired:
What time of work are you willing to accept?
Full-Time
Part-Time
Temporary
How did you learn of this job opportunity?
Walk In
Employee
Referral
Newspaper
Internet
Other
Note: Do not answer this
question unless you have been informed of the requirements of
the job for which you are applying:
Are you capable
of performing in a reasonable manner, with or without a
reasonable accommodation, the activities involved in the job or
occupation for which you have applied?
Yes
No
Hours
Available |
Sunday |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Weekly Hours
Available |
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I understand that Day's Market operates from 6am
to Midnight 7 days a week, and I may be required to work any
hours during the time period and/or any day during the week,
including holidays. If hired, my employment will be based
on availability indicated above. I have read the above
information and agree to be available for the hours indicated,
including holidays.
Education
Employment History
Reference Information
Applicant Certification and Agreement (Please
read carefully)
By submitting this
application I certify that the facts set forth in my application
for employment are true and complete. I understand that if
employed, any falsification, misstatement, or omission of fact
in connection with my application, whether on this document or
not may result in immediate termination of employment. I
further understand that this application is not and is not
intended to be a contract of employment, nor does this
application obligate the employer in any way if the employer
decides to employ me. I understand and agree that my
employment is at will and can be terminated by either party with
or without notice at any time, for any reason. No one
other than the president of the company has any authority to
enter into any agreement for employment for any specific period
of time or to make any agreement contrary to the foregoing, and
then in writing and signed by the president.
I further certify that I am
not engaged in any outside activity or business that could
be considered in conflict with Day's Markets Inc. or D.
Brothers Inc.'s (doing business as Day's Market) interest or
those of it's customers, nor will I become engaged in such
activity or business if employed.
I authorize Day's Market
and/or D. Brothers Inc. to solicit information regarding my
previous employment, education, character, general
reputation and/or similar background information, and to
contact any and all prior employers or references listed on
this application or obtained from other sources as may be
necessary for Day's Market and/or D. Brothers Inc. to make
it's hiring decisions. I release any individual and/or
organizational contact to obtain such references from any
liability for providing information requested by Day's
Market and/or D. Brothers Inc., for the purpose of making
its hiring decisions. If employed, I release Day's
Market and/or D. Brothers Inc. from any liability for future
references it may provide regarding my work history with the
company.
