Good Earth Job Application - Good Earth Natural Foods

*Available to work at:

Spanish Fork

Orem

American Fork

Sandy

Riverdale

Personal Information

*First Name

*Last Name

*Address

Suite, Apartment number, etc

*City

*State

*Zip Code

*Phone Number

Email Address

Position Applied for

*Have you filed an application for Good Earth Natural Foods before?

Yes

No

Please list any other names you work under (click the plus sign to add more)

First Name

Last Name

*What kind of employment are you looking for?

Part Time

Full Time

*Are you willing to work weekends?

Yes

No

*Are you willing to work holidays?

Yes

No

*Date Available for work

*Desired Salary Range

*If hired how long do you plan on being employed with Good Earth?

*Are you currently employed?

Yes

No

*Have you been convicted of a felony in the past 10 years?

Yes

No

*How did you hear about the position?

*Do any of your friends or relatives work with Good Earth?

Yes

No

Hours available for work (Indicate beginning and ending hours available)

*Monday

*Tuesday

*Wednesday

*Thursday

*Friday

*Saturday

Education

*High School

*Year of Graduation

College/Additional Studies

Last Year Completed

Major/Areas of Study

References

1

First Name

Last Name

Phone Number

Email Address

2

First Name

Last Name

Phone Number

Email Address

3

First Name

Last Name

Phone Number

Email Address

Employment History

Please list three most recent jobs (start with most recent or current job)

Application must be filled out completely even if a resume has been provided

1

Company Name

Position (Click add if more than one)

City

State

Date from

Date to

Supervisor's First Name

Supervisor's Last Name

Phone Number

May we contact them?

Yes

No

Starting Salary

Ending Salary

Reason for leaving

Resigned with Notice

Resigned without Notice

Terminated

Open for re-hire?

Yes

No

Comments/Reason for Leaving

2

Company Name

Position (Click add if more than one)

City

State

Date from

Date to

Supervisor's First Name

Supervisor's Last Name

Phone Number

May we contact them?

Yes

No

Starting Salary

Ending Salary

Reason for leaving

Resigned with Notice

Resigned without Notice

Terminated

Open for re-hire?

Yes

No

Comments/Reason for Leaving

3

Company Name

Position (Click add if more than one)

City

State

Date from

Date to

Supervisor's First Name

Supervisor's Last Name

Phone Number

May we contact them?

Yes

No

Starting Salary

Ending Salary

Reason for leaving

Resigned with Notice

Resigned without Notice

Terminated

Open for re-hire?

Yes

No

Comments/Reason for Leaving

Questions

*Explain what characteristics you have that would help you to be successful at this job

*Do you have a background or experience working with natural foods or nutritional supplements?

*I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application.

*In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge.