Big Red Stores Application For Employment Preferred Store Location* Company Applying For*Big Red StoresFamily Market (Malvern, Pangburn, Shannon Hills) Position Applying For*Team MemberStore Manager Name*FirstLastMiddle Any Other Last Name (maiden/divorced/etc.) Email* Phone* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Are You Over The Age of 18?*Select valueYESNO Are you 21 years of age or over?*Select valueYESNO Are you on lay-off subject to recall?*Select valueYESNO May we contact your employer?*Select valueYESNO Earliest date you will be available for work?* Will you work overtime if asked?*Select valueYESNO If hired, do you have a reliable means of transportation to work?*Select valueYESNO Have you ever WORKED for or APPLIED for employment with Summerwood Partners/Big Red Stores or Family Market?*Select valueWorkedAppliedNeither Work/Applied If Worked For Big Red Stores/Family Market, what store and year? Have you been convicted of or pleaded guilty to a felony within the past 7 years?*Select valueYESNO If yes, please explain. Do You Understand That We Test ALL Applicants For Illegal Drug Use?*Select valueYESNO This organization participates in E-verify. Are you prevented from lawfully becoming employed in this country because of Visa or immigration status? (Proof of citizenship or immigration status will be required upon employment.)*Select valueYESNO Previous Address Street Address City State / Province / Region How Long Have You Lived At Current Address?* How long did you live at previous address? Have you ever been bonded?*YESNO If “Yes” with which employer? Have you ever refused bonding?*YESNO If “Yes” please explain Please state name(s) of all family member(s) and or friend(s) that currently work for us, including spouse. In case of emergency, notify:* Education & TrainingCourse of StudyYears CompletedGraduate? When?Degree or Diploma? Y/NCollegeBusiness,, Trade or Technical SchoolHigh School Please list any other experience, skills or qualifications you may have for the job for which you are applying: Have you ever been discharged or asked to resign from any employment?*Select valueYESNO If yes, please identify the employer(s) and the reason(s) for each discharge/resignation: If you used another name while working for any employer, please state the name(s) used, the reason for using the name(s) and the employer(s) for whom you worked while using the name(s): Have you ever been denied unemployment benefits?*Select valueYESNO If yes, please identify the employer(s) and the reason(s) for ach denial: Employer Dates Employed Work Performed Address of Employer Telephone Number of Employer Job Title Supervisor's Name Your Starting Hourly Rate/Salary vs Final Reason for Leaving Employer #2 Dates Employed #2 Work Performed #2 Address of Employer #2 Telephone Number of Employer #2 Job Title #2 Supervisor's Name #2 Your Starting Hourly Rate/Salary vs Final #2 Reason for Leaving #2 Employer #3 Dates Employed #3 Work Performed #3 Address of Employer #3 Telephone Number of Employer #3 Job Title #3 Supervisor's Name #3 Your Starting Hourly Rate/Salary vs Final #3 Reason for Leaving #3 Other special training or skills: Please list any additional references (personal or business) you may wish us to contact: (Name/Occupation, Address & Phone Number) I hereby give consent to any and all prior employers of mine, or my current employer, to provide the information below with regard to my employment with the prior or current employers to Summerwood Partners & Family Markets, LLC. This consent is valid for a period of six(6) months from the date indicated below.*Clear Applicant's Signature*Clear Date* In order to allow the Company to obtain such reports, I give my voluntary consent for a CRA to release such reports to the Company, now or at any time while I am being considered for employment by the Company or while I am employed by the Company. My signature below indicates my consent. I understand that giving my consent does not require the Company to hire me nor does it create any sort of contract, obligation or duty between the Company and me.*Clear Date of Signature * Name (printed)*FirstLast 1. Warning: I understand that false or misleading information given on this application and/or attachments hereto, or the omission of a material fact thereon, or otherwise during the application process, will result in my not being considered for employment or, if discovered that I have been hired, termination of employment.* 2. I certify that answers given in this application are true and complete.* 3. I authorize investigation of all statement contained in this application as Summerwood Partners or Family Markets, LLC may deem necessary to arrive at an employment decision and I release employers and other persons named herein from all liability for any damages on account of furnishing such information.* 4. In the event of employment, I understand and agree that my employment with Summerwood Partners or Family Markets, LLC will be “at will”, which means that I may resign at any time and Summerwood Partners or Family Markets, LLC may discharge me at any time, with or without cause, and that my position, duties, wages, hours, benefits and other terms and conditions of employment may be changed, modified or terminated at any time in the sole discretion of Summerwood Partners or Family Markets, LLC. I understand that, in the event of employment, my status as an “at will” employee cannot be changed by any written document, conduct, statement or oral agreement unless such change is specifically acknowledged in writing and signed by the President or Secretary of Summerwood Partners or Family Markets, LLC.* 5. I understand that failure timely and property to complete and submit this application and any attachments will result in my not being considered for employment. If employed, I agree to cooperate fully in any job-related employment investigation, examination, or test that are not prohibited by applicable law. i certify that i am a genuine applicant for employment and that this application is being submitted solely for the purpose of obtaining employment with Summerwood Partners or Family Markets, LLC.* 6. I understand that, as an applicant for a position with Summerwood Partners or Family Markets, LLC, I may be asked to demonstrate that I am capable of performing tasks that are pertinent to the job for which I am applying. I understand that any job offer I receive may be conditioned upon the results of a physical examination and or drug/alcohol test and I hereby consent to and give my authorization for such test. I further agree that such tests as selected by Summerwood Partners or Family Markets, LLC shall be performed by such entities or physicians as Summerwood Partners or Family Markets, LLC deems appropriate. I release, reimburse, hold harmless, and agree to indemnify Summerwood Partners or Family Markets, LLC and the testing physicians/entities from all liability resulting directly or indirectly from such testing.* 7. I understand Summerwood Partners or Family Markets, LLC strives to maintain “a drug free workplace.” If employed, I agree to comply with Summerwood Partners or Family Markets, LLC’s substance abuse policy. I understand that Summerwood Partners or Family Markets, LLC will test for drugs and alcohol in accordance with its policy and applicable law. If employed, I understand that failure or refusal to cooperate or comply with a legal request for a drug or alcohol screen will result in immediate termination. If employed, I promise not to engage in the current illegal use of drugs.* 8. I agree that, if employed by Summerwood Partners or Family Markets, LLC, I will learn, conform to and abide by the current and future rules, regulations, policies, guidelines and procedures of Summerwood Partners or Family Markets, LLC and that my position, duties, wages, hours, benefits and other terms and conditions of employment may be changed, modified or terminated at any time in the sole discretion of Summerwood Partners or Family Markets LLC.* 9. If employed, I understand I may be held fully responsible and liable for any shortage, loss, disappearance, damage, or destruction of any property entrusted or delivered to me, or purchased by me, or in my use, possession or control during, related to, arising out of, or associated with my employment with Summerwood Partners or Family Markets, LLC provided, such reimbursement or payment may not reduce my pay below applicable minimum wage for any pay period.* Signature *Clear Date of Signature . *SubmitReset