Employment Application - Butchers Market

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Employment Application Form

Company
This field is for validation purposes and should be left unchanged.
The Butcher's Market is an equal opportunity employer and will not discriminate against any applicant on the basis of any characteristic that is protected by State or Federal law. We offer Health Insurance including Vision & Dental, 401k, Supplemental Insurance and Food Discounts.
We are always looking for talented individuals to join our team! Butchers, Case Workers, Cashiers and Managers.
Position Applying For
Date you can start*
MM slash DD slash YYYY
Name*
First Last
Current Address*
Street Address City State ZIP Code
Phone*
Email Address*
Personal Information
Are you 18 years of age or older?*
- Yes
- No
Do you have a valid driver's license?*
- Yes
- No
Are there any hours or days of the week you cannot work? If yes, specify below.*
- Yes (please specify below)
- No
Hours I am not available to work:
Type of employment desired:*
- Full time
- Part time
Desired Location
- Cary
- Holly Springs
- Lake Boone Trail
- Raleigh
- Prep Kitchen
- Porters Neck
- Wake Forest
- Wilmington
Salary Desired:
Are you employed now?*
- Yes
- No
May we contact your present employer?*
- Yes
- No
Business Name, Contact & Phone Number of Current Employer:
Do you have US Military experience?*
- Yes
- No
Military Branch Served:
Are you lawfully entitled to be employed in the United States?*
- Yes
- No
Have you ever been convicted of a crime other than a minor traffic violation?*
- Yes
- No
Please state citation, date and place where offense occured:
Education
High School: Name and location of High School*
High School: Did you graduate?*
- Yes
- No
College: Name and location of School
College: Number of years attended
College: Did you graduate?
- Yes
- No
College: Major
Please provide any additional information such as special skills, training, management experience, equipment operation or qualifications you feel will be helpful to us in considering your application.
References

List three individuals not related to you, whom you have known for at least one year:
Reference #1 Name:
First
Reference # 1 Address:
Reference # 1 Phone:
Reference # 1 - Number of years aquainted:
Reference # 2 Name:
First
Reference # 2 Address:
Reference # 2 Phone:
Reference # 2 - Number of years aquainted:
Reference # 3 Name:
First
Reference # 3 Address:
Reference # 3 Phone:
Reference # 3 - Number of years aquainted:
Current & Former Employers

(List most recent first)
Employer # 1
Employer #1 - Name:
Employer #1 - Address:
Employer #1 - Phone:
Employer #1 - When employed (date range):
Employer #1 - Starting/Ending Salary:
Employer #1 - Last position held/ responsibilities:
Employer #1 - Reason for Leaving:
Employer #2
Employer #2 - Name:
Employer #2 - Address:
Employer #2 - Phone:
Employer #2 - When employed (date range):
Employer #2 - Starting/Ending Salary:
Employer #2 - Last position held/ responsibilities:
Employer #2 - Reason for Leaving:
Employer #3
Employer #3 - Name:
Employer #3 - Address:
Employer #3 - Phone:
Employer #3 - When employed (date range):
Employer #3 - Starting/Ending Salary:
Employer #3 - Last position held/ responsibilities:
Employer #3 - Reason for Leaving:
May we contact the employers listed?
- Yes
- No
Specific instruction about which employers we may or may not contact:
Read and initial the following statements carefully before signing. In accepting the following you agree that you fully understand.
I understand that the position I am applying for requires heavy lifting. I certify that am willing and able to lift 60 pounds comfortably*
- I am able
- I am not able
I certify that the facts contained in this application are true, accurate, and complete to the best of my knowledge and understand that, if employed, falsified statements or omitted material facts on this application may result in my disqualification from consideration for employment, or termination from employment if I have been hired.*
- I agree
I understand and agree that, if hired, my employment is AT-WILL, is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated with or without cause, at any time, with or without notice. This provision supersedes any oral or written representation to the contrary unless in writing and signed by both the President of the company and the person to whom the writing is directed.*
- I understand
I authorize investigation of all statements contained in this application for any employment-related purpose. I release the listed references and all employers, except those specifically excepted,* to provide you with any and all applicable information they may have. I hereby release these references and former employers from all liability for any information they may give to the Company.*
- I agree

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Cary 1225 Kildaire Farm Rd Cary, NC 27511 cary@thebutchers-market.com (919) 465-3082	Raleigh 5045 Falls of Neuse Rd Raleigh, NC 27609 raleigh@thebutchers-market.com (919) 809-8914	Holly Springs 4200 Lassiter Rd Holly Springs, NC 27540 hollysprings@thebutchers-market.com (919) 267-9191	Wake Forest 1898 S Franklin St Wake Forest, NC 27587 heritage@thebutchers-market.com (919) 263-9367
Lake Boone 2414 Wycliff Road Raleigh, NC 27607 lakeboone@thebutchers-market.com (919) 615-0512	Wilmington 4512 Oleander Dr Wilmington, NC 28403 wilmington@thebutchers-market.com (910) 399-7398	Porters Neck 188 Porters Neck Rd Wilmington, NC 28411 portersneck@thebutchers-market.com (910) 821-8600	Catering 8801 Fast Park Dr Raleigh, NC 27617 linda@thebutchers-market.com (919) 576-7916

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