Employment Application | Butchers Market

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Employment Application Form

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.
Position Applied for:*
Date you can start*
Name*
First Last
Present Address*
Street Address Address Line 2 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
- Raleigh
- N Raleigh at Bedford
- All
Salary Desired:
Are you employed now?*
- Yes
- No
Are you currently on "lay-off" status and subject to recall?*
- Yes
- No
May we contact your present employer?
- Yes
- No
Name, title and phone of current employer:
Have you ever applied to this company before?*
- Yes
- No
If yes, please specify which location, under what name, and when:
Do you have US Military experience?*
- Yes
- No
Date Entered Military Service
Military Branch Served:
Rank
Date Discharged
Honorable discharge?
- Yes
- No
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:*
Emergency Contact Name*
First Last
Emergency Contact Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact Phone:*
Education
High School: Name and location of High School*
High School: Number of years attended*
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
Specialized training or education: Please detail
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 Last
Reference # 1 Address:
Reference # 1 Phone:
Reference # 1 - Number of years aquainted:
Reference # 2 Name:
First Last
Reference # 2 Address:
Reference # 2 Phone:
Reference # 2 - Number of years aquainted:
Reference # 3 Name:
First Last
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
Name
This field is for validation purposes and should be left unchanged.

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Raleigh

5045 Falls of Neuse Rd
Raleigh, NC 27609
raleigh@thebutchers-market.com
(919) 809-8914

Cary

1225 Kildaire Farm Rd
Cary, NC 27511
cary@thebutchers-market.com
(919) 465-3082

Holly Springs

4200 Lassiter Rd
Holly Springs, NC 27540
hollysprings@thebutchers-market.com
(919) 267-9191

Bedford

1540 Dunn Rd
Raleigh, NC 27614
OPENING FALL 2019

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Employment Application Form

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References

Current & Former Employers

Employer # 1

Employer #2

Employer #3

Read and initial the following statements carefully before signing. In accepting the following you agree that you fully understand.