Community Co-op Market Employment Application

Contact Email

Personal Information

First Name

Last Name

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Alternate Phone

Ext:

Do you have a relative or partner employed by the Co-op?

Yes

If yes, who?

Have you previously been employed by this Co-op?

Yes

If so, when?

Were you referred by an employee, a Co-op member, or an external website?

Co-op Employee

Co-op Member

Website

If yes, who?

If hired, can you provide evidence of your right to work in the United States?

Yes

Position

Position You Are Applying For

Available Start Date

Pay Expectation

Employment Desired

Full Time

Part Time

Shift Availability

From

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Why do you want to work at Community Co-op Market?

What are your expectations of your employment at Community Co-op Market?

Education

Please list your most recent education experiences

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References

Please list up to four (4) professional references

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Employment History

List present or most recent employers first. We reserve the right to contact these employers.

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Application Certification

I authorize Community Co-op Market to obtain and verify, verbally or in writing, information about my background and qualifications for employment. I release Community Co-op Market, its officers, directors, agents and employees from any and all claims arising out of obtaining and verification of this information. I also release any person providing information about my background and qualifications for employment from any and all claims that may arise as a result of disclosure. I understand that my Social Media accounts may also be reviewed for content.

Signature

Sign above