Please enable JavaScript in your browser to complete this form.Online ApplicationName *FirstLastPhone *Address *Email *Have you worked at Maple City Market before? *YesNoIf Yes, when?Languages spoken?Employment DesiredAre you applying for a specific job or jobs? *YesNoIf Yes, which?Monday Availability (Check all that apply.) *DaysEveningsNoneTuesday Availability (Check all that apply.) *DaysEveningsNoneWednesday Availability (Check all that apply.) *DaysEveningsNoneThursday Availability (Check all that apply.) *DaysEveningsNoneFriday Availability (Check all that apply.) *DaysEveningsNoneSaturday Availability (Check all that apply.) *DaysEveningsNoneSunday Availability (Check all that apply.) *DaysEveningsNoneAvailability Comments?What is the maximum number of hours per week you would work? *What is the minimum number of hours per week you would work? *Do you expect to be absent any time in the next 6 months? *YesNoIf Yes, when and for how long?How long do you see yourself working at the co-op? *Do you have a reliable form of transportation? *YesNoWhat is your age group? *14 - 15 years old16 - 17 years old18 or olderState and Federal laws place limitations on duties and hours that certain age groups can work.EducationPlease provide a brief synopsis of your educational background: *Employment History Please provide your employment history for your last four jobs, beginning with the current or most recent and working backwards. Please complete this section even if you've sent a resume.Employer #1 (Name, phone, supervisor, dates employed, & reason for leaving.)May we contact this employer? YesNoEmployer #2 (Name, phone, supervisor, dates employed, & reason for leaving.) May we contact this employer? YesNoEmployer #3 (Name, phone, supervisor, dates employed, & reason for leaving.) May we contact this employer?YesNoEmployer #4 (Name, phone, supervisor, dates employed, & reason for leaving.) May we contact this employer? YesNoReferencesPlease list three people we may contact, not related to you, whom you have known at least one year.NameFirstLastPhoneHow do you know this person, and how long have you known them?NameFirstLastPhoneHow do you know this person, and how long have you known them? NameFirstLastPhoneHow do you know this person, and how long have you known them? Skills and ExperienceWhy do you want to work at Maple City Market? *What special skills or experience do you have that would qualify you to work at Maple City Market? *Captcha * = PhoneSubmit
