Job Description — Careers at Farmers Supermarket

Wholesale & retail · Hyattsville, MDCall or text 301-864-4000

Farmers Supermarket5502 Landover Road, Hyattsville MD, 20784

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Apply for this position

This is our full employment application. Fill in what applies to you and we will call you. Do not include medical information, date of birth, or pay history.

1. Position information

Employment soughtFull timePart timeEither

Date you can start

2. Your information

Full legal name

Preferred name (optional)

Phone number

Street address

City

State

ZIP code

Best way to reach youPhoneEmailEither

3. Work availability

List the hours you can work each day. Write “not available” for days you cannot work.

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Most hours per week you can work

Fewest hours per week you want

Can work eveningsYesNo

Can work weekendsYesNo

Can work store holidaysYesNo

4. Experience and skills

I can perform the duties of this job, with or without a reasonable accommodationYesNo

Experience, skills, licenses or certificates

5. Work history

Job 1

Employer, city and state

Job title and supervisor

Employer phone or email

Dates worked (month/year)

Main duties

Reason for leaving

We may contact this employerYesNo

Job 2

Employer, city and state

Job title and supervisor

Employer phone or email

Dates worked (month/year)

Main duties

Reason for leaving

We may contact this employerYesNo

6. Education or training

School or training program

Program, degree or certificate

CompletedYesNoIn progress

7. References

Reference 1 — Name

How you know them

Phone or email

Reference 2 — Name

How you know them

Phone or email

8. Eligibility and certification

If hired, I can provide documents showing I am authorized to work in the United StatesYesNo

I certify that the information I gave is true and complete. I allow Farmers Supermarket to check job-related information and contact the employers, schools and references I listed. I understand this application is not a job offer or a contract.

Type your full name as your signature

9. Resume (optional)

Attach a resume (optional — PDF or Word, 5 MB max)

Anything else you want us to know