WORK WITH US Please complete this application to be considered for employment with Daily's Market. Applicants may be tested for use of illegal drugs and substances. Position applying for*Stocker (5-10 hours per week)Store Clerk (part time)Store Clerk (full time)Store Manager (full time)I would like to be considered for all jobs available.Personal Information and ContactName* First Middle Last Maiden Email* Mobile Phone*Home PhonePresent Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived at this address?* Social Security Number*Please enter in XXX-XX-XXXX format. If you are younger than 18, please select your age.I'm older than 18.17161514Work Schedule and CompensationDays & hours available to work*Please list all days Sunday-Saturday.DayHours available to work Are you able/willing to work nights and weekends?*YesNoSometimesHourly pay desired*Education and BackgroundEducation*Name of SchoolLocationYears CompletedMajor/Degree Have you ever been convicted of a crime?*YesNoPlease explain the number of conviction(s), nature of offens(s) leading to conviction(s), how recently such offens(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.I understand a criminal background check may be conducted and my signature is an authorized consent.*YesNoDo you have a driver's license?*YesNoDriver's License NumberStateExpiration DateHave you had any driving accidents during the past three years?YesNoHow many? Have you had any moving violations during the past three years?YesNoHow many? Experience and QualificationsReferences*Please list two references other than relatives and close friends.NamePositionCompany/RelationshipPhone Have you ever been in, or currently in, the armed forces?*Yes, I have been.Yes, I am currently in.No, I have never been or currently in.SpecialtyDate EnteredDischarge DateType of Discharge Work Experience*Please list your work experience for the past 3 years beginning with your most recent job held. If you were self-employed, give the firm name.EmployerName of supervisorEmployment datesPay/SalaryYour job titleReason for leaving May we contact any of your present/past employers?*YesNoThird ChoiceTell us about the jobs you held, duties performed, skills used or learned, and advancements/promotions you have received with previous companies that qualify you for employment with Daily's Market.*An application form sometimes makes it difficult to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.*Did you complete this application?*YesNoWho completed this application for you? I certify that all the information on this application is true and correct. I also understand that typing my name in the text below gives Daily's Market, LLC my consent to appropriately, as mentioned previously in this application, qualify me for this position.* Yes No Please type your full name.* I understand that typing my name in the text below gives Daily's Market, LLC my consent to appropriately, as mentioned previously in this application, qualify me for this position.Date of application* MM slash DD slash YYYY If you would like, please upload a file of your resume and/or cover letter.PDF files under 64MB are required.Max. file size: 50 MB.