Employment Application

It is the policy of The Orcas Food Cooperative (The Co-op) that except where an occupational qualification exists, recruitment, employment, promotion, compensation, and other programs sponsored by The Co-op, will be administered without regard to race, creed, color, sex, sexual orientation, gender identification, political affiliation, religion, marital status, national origin, status with regard to public assistance, physical or mental disability, or age.

First Name *

Last Name *

Phone *

Email *

Date Today *

Address

Street Address

City

State

Country

Postal code

Position applying for

Date you can start

Are you interested in other positions at the Co-op?

Any pay requirements?

Where did you hear about job openings at the Co-op?

Scheduling & Availability

What is the maximum number of hours you could work per week?

Minimum hours?

Do you expect changes in your availability in the next 6 months? If yes, explain.

Do you have any other commitments (like employment or school) that might affect your availability? If so, explain:

Employment History

Relevant work experience.

Employer 1

Name

Address

Phone Number

Supervisor Name

Date of Employment

Position Held

Responsibilities Held

Reason for Leaving

May we contact this employer?

Employer 2

Name

Address

Phone Number

Supervisor Name

Date of Employment

Position Held

Responsibilities Held

Reason for Leaving

May we contact this employer?

Questionnaire

What experience do you have with Cooperatives, Natural Foods, Customer Service, and Food Service?

Why would you like to work at the Orcas Food Co-op?

What specific experience do you have related to the position for which you are applying?

One of the most important parts of all positions at the Orcas Food Co-op is excellent customer service. What is your experience and/or philosophy regarding interacting with customers?

If hired, could you show evidence of your right to work in the United States? *

Yes

I authorize my present and former employers (unless otherwise stated on this application) to release to the Orcas Food Co-op any information concerning my employment, including my job performance.

Further, I release all these parties from liability for any damage, (except that resulting from misrepresentation) which might result from furnishing this information.

The information provided on this application is true and complete to the best of my knowledge.

I understand that falsified information or significant omissions may disqualify me from further consideration and may be considered justification for dismissal if discovered at a later date.

I understand that employment at the Orcas Food Co-op is for no definite period of time.

The Orcas Food Co-op and its employees have at all times the right to terminate the employment relationship.

Signature *

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