Shakopee Cub Application * Required Field Applicant InformationName(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)(###)###-####SMS(Required) Yes No Email(Required) Which Store Location are you applying to?(Required)Shakopee Cub – Grocery Store (1198 Vierling Dr E)Shakopee Cub – Liquor Store (1262 Vierling Dr E)Are you interested in(Required) Full Time Part Time Position(s) Applying For(Required) Bakery Bookkeeping Cashier/Service Desk Dairy/Frozen E-Commerce General Merchandise Grocery Liquor Store Clerk Maintenance (Clean Team) Meat Pharmacy Technician Pricing Produce Assistant Store Director Department Manager HR – Recruiter/Onboarding Loss Prevention Agent Store Director Date Available(Required) MM slash DD slash YYYY Earnings Expected (per hour)(Required)If hired, can you provide documentation as to employment eligibility?(Required) Yes No Are you legally entitled to work in the United States?(Required) Yes No Have you ever worked for this Cub location or any other associated company? Yes No Are you over the age of 18?(Required) Yes No Please input your age if you are under 18(Required)# of Hours per Week Preferred (minimum of 15 required)(Required)AvailabilityList what hours you are available each day. (Do not list your preferred schedule.) Shakopee Cub attempts to accommodate schedule preferences. However, scheduling is based on business demands and employees can be scheduled for any shifts within the agreed upon availability. Weekend Availability is Required.Availability(Required)EducationHigh SchoolDid you graduate? Yes No Diploma or GEDCollegeDid you graduate? Yes No DegreeOtherDid you graduate? Yes No License/CertificationReferencesName First Last RelationshipCompanyPhoneName First Last RelationshipCompanyPhoneName First Last RelationshipCompanyPhoneEmployment HistoryPlease list all present and past employers. Begin with your most recent.Present/Last EmployerAddress City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Job TitlePhoneResponsibilitiesSupervisorMay we contact your previous Employer/Supervisor for reference? Yes No Start Date MM slash DD slash YYYY MM/DD/YYYYEnd Date MM slash DD slash YYYY MM/DD/YYYYReason For LeavingPrevious EmployerAddress City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Job TitlePhoneSupervisorMay we contact your previous Employer/Supervisor for reference? Yes No ResponsibilitiesStart Date MM slash DD slash YYYY MM/DD/YYYYEnd Date MM slash DD slash YYYY MM/DD/YYYYReason For LeavingPrevious EmployerAddress City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Job TitlePhoneSupervisorMay we contact your previous Employer/Supervisor for reference? Yes No ResponsibilitiesStart Date MM slash DD slash YYYY MM/DD/YYYYEnd Date MM slash DD slash YYYY MM/YYYYReason For LeavingMilitary ServiceBranchRank at DischargeType of DischargeDisclaimer and SignatureThe Civil Rights Act of 1964, as amended, prohibits discrimination in employment because of race, color, sex, religion, or national origin. The Age Discrimination of Employment Act of 1967, as amended, prohibits discrimination because of age. Various state laws prohibit some of the above as well as other types of discrimination. As an Equal Opportunity Employer, Shakopee Cub intends to comply fully with all applicable employment laws. Federal Law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with such laws, Shakopee Cub will verify the status of every individual offered employment with the company, in this connection, all offers of employment are subject to verification of the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization. I authorized Shakopee Cub to contact and/or verify my employment, references or any other background information. Further, I hereby release from all liability or damages those individuals, corporations, or organizations who provide such information. It is the policy of Shakopee Cub to check and verify information on the application. It is understood that if my application is considered favorably, any false or misleading statement or information submitted on this application, or otherwise, including any report of medical history which I sign, may result in Immediate Dismissal without notice. I agree to undergo a pre-employment physical examination, if requested, at company expense and realize that my employment is contingent upon my satisfactory passing such examination. On entering the employ of Shakopee Cub , I agree to be governed and abide by all rules and regulations of my employer and to perform satisfactorily such duties as may be assigned to me from time to time. I understand that my employment is for no definite or fixed period of time and that neither hours of work which may be assigned to me at any time nor any other act or circumstances shall constitute a guarantee of employment or as to daily or weekly straight time or overtime working hours; I, further understand that if employment is offered to me by Shakopee Cub , it will be on an at-will basis and may be terminated at any time, by either party with or without cause. No representative of Shakopee Cub has the authority to make any contrary agreement. I hereby certify the statements and information made in this application are, to the best of my knowledge, completely true and correct; and that I have read the above notice.Signature (type name)(Required)Date(Required) MM slash DD slash YYYY CAPTCHA
