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EMPLOYMENT APPLICATION
Hello and thank you for thinking of Lori’s in your search for employment! All positions are full-time only and applicants should be willing to work both nights and weekends. Lori’s Natural Foods is an equal opportunity employer.
Tell Us About Yourself
Applicant Name:
Address:
Apt:
City:
State:
AA
AE
AK
AL
AP
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Email:
Phone:
Position Desired:
Grocery/Fridge
Cashier
Wellness
Kitchen
Bulk/Produce
Other
How Did You Hear About Us:
Previously Worked Here?
No
Yes
If Yes, Reason For Leaving:
If Under The Age Of 18, Do You Have A Work Permit?
N/A
No
Yes
Tell Us Where You've Worked!
Most Recent Employer:
Phone:
Address:
Supervisor:
Job Title:
When Employed:
Responsibilities:
Reason For Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Next Most Recent Employer:
Phone:
Address:
Supervisor:
Job Title:
When Employed:
Responsibilities:
Reason For Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Next Most Recent Employer:
Phone:
Address:
Supervisor:
Job Title:
When Employed:
Responsibilities:
Reason For Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Volunteer Or Community Involvement
Organization:
When:
Describe your actions/responsibilites
Education
High School:
Address:
Years Attended:
Did you graduate?
Yes
No
Degree:
College:
Address:
Years Attended:
Did you graduate?
Yes
No
Degree:
Other:
Address:
Years Attended:
Did you graduate?
Yes
No
Degree:
Who Knows Your Character And Work Ethic Best?
Please list three professional references. No family please {we know you're their star}!
Full Name:
Company:
Email Address:
Phone:
Relationship:
Full Name:
Company:
Email Address:
Phone:
Relationship:
Full Name:
Company:
Email Address:
Phone:
Relationship:
Now We Want To Know Who You Really Are...
Why does employment at Lori's interest you personally?
What does the term 'health' mean to you?
What do you have to offer the Lori's team? (skills, knowledge, etc.)
Describe how/why customer service is important to you:
What are your long term goals?
If you're applying for a specific position within the store we'd like to hear why it would be a good fit for you:
APPLICANT CERTIFICATION
I understand that if I am hired, my employment may be terminated at any time with or without cause or notice at my will or by decision of Lori's Natural Foods Center. This application is intended to evaluate my work qualifications and is not an employment contract. By signing below I agree that all of the information provided in this application and potential subsequent interview process, to my knowledge, is true and accurate. I also authorize Lori's Natural Foods Center to verify any and all information provided. I understand that any misrepresentation, falsification or omission of information on this application may result in my termination. Offers of employment may also require additional background and/or drug testing.
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