Application for Employment "*" indicates required fields Step 1 of 7 - Name & Contact Information 14% Name & Contact InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Address* Work EligibilityAre you under age 18?* Yes No If under 18, are you able to provide proof of eligibility to work? Yes No Are you currently authorized to work in the United States?* Yes No Proof of eligibility will be required if hired. Desired Position & PreferencesPosition you are applying for:*Shift SupervisorCrew MemberIf “Other”, what position are you applying for?* Type of employment desired:* Full-Time Part-Time Seasonal How many hours can you work weekly?*What days/hours are you available to work?*MondayTuesdayWednesdayThursdayFridaySaturdaySunday Add RemovePlease specify Days (10am - 4pm), Nights (3pm - 10pm), or No Preference.When are you available to start work?* EducationPlease tell us about any schools or colleges you've attended, including business, trade and professional schools:Name of SchoolLocationNumber of Years CompletedMajor & Degree Add RemoveClick the plus button to add additional schools. Equal OpportunityRosie's Delicatessen is an equal opportunity employer and will not discriminate unlawfully on the basis of race, religion, color, age (over age 39), sex, national origin, disability, veteran status or status within any other protected class established by applicable law. Work ExperiencePlease tell us about your past places of employment.Employer NameAddressPhone NumberName of Last SupervisorEmployment DatesYour Last Job TitleReason for Leaving Add RemoveClick the plus button to add additional employers. Upload Resume (Optional)Max. file size: 64 MB.Were you referred by a current employee of Rosie's Delicatessen?* Yes No Name of employee who referred you:* Authorization for Release of InformationI hereby authorize Rosie's Delicatessen to contact anyone it deems appropriate to investigate and verify the accuracy of information contained in this application including but not limited to, all previous employers, educational institutions, and references. I further consent to being discussed by anyone so contacted and I agree to the release of documents, information and things necessary to conduct the investigation and verification. I certify that all statements made by me on this application are true and complete to the best of my knowledge and I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. May we contact your current employer?* Yes No Did you complete this application yourself?* Yes No Rosie's Delicatessen is an equal opportunity employer and will not discriminate unlawfully on the basis of race, religion, color, age (over age 39), sex, national origin, disability, veteran status or status within any other protected class established by applicable law. THESE MATERIALS ARE PROVIDED FOR EMPLOYMENT APPLICATION PURPOSES ONLY AND DO NOT CONSTITUTE OR IMPLY ANY CONTRACT OF EMPLOYMENT, PROMISE OF EMPLOYMENT, OR JOB SECURITY IF EMPLOYMENT IS ATTAINED. THE POLICIES AND PROCEDURES IN THESE MATERIALS ARE INTENDED TO BENEFIT ROSIE'S DELICATESSEN AND NOT APPLICANTS FOR EMPLOYMENT OR EMPLOYEES. ALL EMPLOYEES OF ROSIE'S DELICATESSEN ARE AT-WILL AND MAY BE TERMINATED AT ANY TIME, WITHOUT PRIOR NOTICE, FOR ANY REASON, OR FOR NO REASON AT ALL. NO PROMISE, EXPRESS OR IMPLIED, AT VARIANCE WITH AT-WILL-EMPLOYMENT SHALL BE VALID OR EFFECTIVE UNLESS STATED IN WRITING BY THE CEO OF ROSIE'S DELICATESSEN. Signature*I acknowledge by my signature that I have read and understand each of the above statements. CAPTCHAUntitledFirst ChoiceSecond ChoiceThird Choice Δ