EMPLOYMENT APPLICATION

Have you ever been employed by the Co-op before?

Have you ever applied at the Co-op before?

Do you have any friends or relatives working at the Co-op?

Employment desired

Are you available for work on weekends?

Are you able to work overtime?

If hired, would you have a reliable means of transportation to and from work?

Are you at least 18 years old? (If under 18, hire is subject to verification of minimum legal age.)

Are you legally authorized to work in the U.S.? (Proof of eligibility will be required upon employment.)

May we contact this employer for a reference?

May we contact this employer for a reference?

May we contact this employer for a reference?

Graduated?

Graduated?

Graduated?

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize Syracuse Cooperative Market to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to Syracuse Real Food Co-op any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release Syracuse Real Food Co-op, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Syracuse Cooperative Market. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Syracuse Cooperative Market, and that no promises or representations contrary to the foregoing are binding on the Syracuse Cooperative Market unless made in writing and signed by me and the Syracuse Cooperative Market’s designated representative.

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618 Kensington Road
Syracuse, New York 13210

Phone: 315-472-1385
Fax: 315-422-9021
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