Online Job Application Form

 Shop Rite and Tobacco Plus are equal opportunity employers located in LOUISIANA.  All applicants will be considered without regard to race, color, religion, sex, national origin, disability or age(over the age of 40).  This application will remain for 60 days.  After that time, it must be renewed if you wish to be reconsidered for employment.

Personal Information
Name:  
St. Address: Apt. Number:
City: State: Zip: Phone:
Are you over the age of 18?  
Have you ever worked at Shop Rite/Tobacco Plus before?  
If YES, Dates? From to Position: Location:
How were you referred? If Emergency Notify:
Are you Applying for Shop Rite, Tobacco Plus, or no preference?

Availability
For what position are you applying? Interested in:
Do you have any experience in this position? If YES, explain:
How many hours a week do you want to work? Desired Starting Pay per hour:
Hours Available:  
Sun: Mon: Tue: Wed: Thur: Fri: Sat:
When can you start work?  

Skills and experience
List any qualifications, training, education, skills, or experience that you feel warrant consideration by the company.
List any business equipment operating abilities you have which might be useful on the job for which you are applying.

Legal Information
Have you ever been convicted of a crime, other than a routine traffic violation?
If YES, Date of Conviction and Explanation!
Are you authorized to work in the United States?

Education
Name and Location of School Did you graduate? Subjects Studied & Degree Recieved
High School/GED
College
Other

US Military Service
If you have been in the military, what type of training or education did you recieve?

Work Experience
Name of Employer Type of Business: Address:
Starting Date: Leaving Date: Starting Salary: Final Salary Job Title: Supervisor:
Type of Job:

 		Job Description and Responsibilities:
 
Reason for leaving: If we contact this employer, would you expect them to say they would rehire you for the position you had last? Explain:
Employer Phone #:

Next Employer:
Name of Employer: Type of Business: Address:
Starting Date: Leaving Date: Starting Salary: Final Salary Job Title: Supervisor:
Type of Job:

 		Job Description and Responsibilities: 
Reason for leaving: If we contact this employer, would you expect them to say they would rehire you for the position you had last? Explain:
Employer Phone #:

Next Employer:
Name of Employer Type of Business: Address:
Starting Date: Leaving Date: Starting Salary: Final Salary Job Title: Supervisor:
Type of Job:

 		Job Description and Responsibilities:
 
Reason for leaving: If we contact this employer, would you expect them to say they would rehire you for the position you had last? Explain:
Employer Phone #:

Please be sure you have completed the form before clicking submit!