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? YES NO
Have you ever worked at Shop Rite/Tobacco Plus before? YESNO
If YES, Dates? From to			Position:	Location:
How were you referred?			If Emergency Notify:Phone:
Are you Applying for Shop Rite, Tobacco Plus, or no preference?			Shop Rite Tobacco Plus No Preference

Availability

For what position are you applying?	Interested in: Full TimePart TimeSummer
Do you have any experience in this position? YESNO	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? YESNO

If YES, Date of Conviction and Explanation!

Are you authorized to work in the United States? YES NO

Education

Name and Location of School		Did you graduate?	Subjects Studied & Degree Recieved
High School/GED		YES NO
College		YES NO
Other		YES NO

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: Full Time Part Time			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: Full Time Part Time			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: Full Time Part Time			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!