Hills Supermarkets - Easy Online Application Process

Must be 18+ to apply

Please fill out the form below or email any application, résumé, or information to:
hills_food_stores@yahoo.com or terryfaulk@hotmail.com

Basic Information
Position Applied For Date of Application

First Name Last Name MI

Address City State Zip Code

Telephone Home Cell Number

Social Security # Driver License # State

Previous History
Date available for work Type of employment desired

Have you ever been employed by a Home Run or Hills Store?
If YES, give: Date(s) employed

& Location
Are you legally eligible for employment in this country?
Have you been convicted of a felony in the last 7 years?
If YES, explain:

Employment History
List your last 3 employers beginning with the most recent.

FromToEmployerTelephone

Job TitleAddress

Reason for Leaving?Summary of Job?

FromToEmployerTelephone

Job TitleAddress

Reason for Leaving?Summary of Job?

FromToEmployerTelephone

Job TitleAddress

Reason for Leaving?Summary of Job?

Education
Name Number Of Years Did You Graduate? Course Of Study?
High School
College
Trade/Business
Corresponfance

Military Service
BRANCH: RANK:
Active in the National Guard or Reserves?
If Yes, Term expires?

References
Give the names of 3 persons not related to you who have known you at least 1 year.

NamePhone NumberBusinessYears Acquainted

In case of an Emergency Notify:
Last NameFirst Name

Relationship: Phone Number:

"I certify that the facts contained in the application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for immediate termination.

I authorize investigation of all statements contained herein and the references listed above to give you and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same.

I understand that if hired my employment is for no definite period and may, regardless of date payment of my wages and salary, be terminated at any time without prior notice."

By checking this box, you agree for this to represent your signature to process any digitally sent information and also are verifying that the information provided in this form is you and is correct to your knowledge.Date

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