Article Structure
The Piggly Wiggly Application for Employment is a critical step for those seeking to join the Piggly Wiggly Alabama Distributing Company. As an applicant, you'll need to provide key personal details. Start by filling out your name, social security number, and contact information. You’ll also share your residency history for the past three years. The application emphasizes the importance of honesty, particularly regarding pre-existing physical or mental conditions. After your personal details, you must provide a comprehensive employment history, detailing all jobs held in the past three years, including contact information for each employer. Questions about previous convictions and licenses are included to ensure compliance with safety regulations. Additionally, you'll outline your driving experience and qualifications, such as past driving-related jobs and any relevant training. The form also requires you to account for any unemployment over the last five years. Lastly, there’s a section for you to confirm the truthfulness of your provided information, a reminder that any discrepancies can jeopardize your application. Completing this application accurately is essential for your path toward employment at Piggly Wiggly.
Piggly Wiggly Application Example
DRIVER’S APPLICATION FOR EMPLOYMENT
PIGGLY WIGGLY ALABAMA DISTRIBUTING COMPANY INC.
2400 J. Terrell Wooten Drive, Bessemer, AL 35020
APPLICATION FOR EMPLOYMENT
PERSONAL (PLEASE PRINT PLAINLY)
“MISREPRESENTATIONS AS TO PRE EXISTING PHYSICAL OR MENTAL CONDITIONS MAY VOID
YOU WORKMEN’S COMPENSATION”
The Civil Rights act of 1964 prohibits discrimination in employment because of race, color, religion or national origin. Public Law
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Date of Application ______________________ |
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Name _______________________________________________ |
Social Security No. |
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Last |
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List your addresses of residency for the past 3 years. |
Date of Birth ______/_________/________ |
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Current
Address ______________________________________________________________________________________
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_______________________________________________ Phone (______) |
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________________________________________________________________________ How Long? _____________________ |
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____________________________________________________________ How Long? ____________________ |
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____________________________________________________________ How Long? ____________________ |
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Have you worked for this company before? ________________ Dates: From____________ To______________
Position ______________________ Reason for leaving ________________________________________________
Are you currently employed? __________ If not, how long since leaving last employment __________________
Have you ever been convicted of a crime, excluding misdemeanors and summary offenses? ________________
If yes, Describe in full ___________________________________________________________________________
Who referred You? _______________________________ Can you provide proof of age? ___________________
Do you want to work fulltime or part time? ________ Specify days and hours if part time__________________
If hired, on what date will you be available to start work? ____________________________________________
Date of last DOT Physical Examination ___________________
Person to be notified in case of accident or emergency
Name _________________________________________________________________________________________________________
Address _______________________________________________________________________________________________________
Phone Number __________________________________________________________________________________________________
Please fax completed copy to:
Employment History
All driver applicants to drive in interstate commerce must provide the following information on all employers during the preceding 3 years. List complete mailing address, street number, city, state and zip code.
Applicants to drive a commercial motor vehicle in intrastate or interstate commerce shall also provide an additional 7 years information on those employers for whom the applicant operated such vehicle. (Note: List employers in reverse order starting with the most recent. Add another sheet as necessary.)
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Were you subject to the FMCSRs while employed? |
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Were you subject to the FMCSRs while employed? |
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Were you subject to the FMCSRs while employed? |
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May we contact the employers listed above? If, not, indicate below which one(s) you do not wish us to contact.
Please fax completed copy to:
ACCIDENT RECORD FOR PAST 3 YEARS OR MORE (ATTACH SHEET IF MORE SPACE IS NEEDED). IF NONE, WRITE NONE.
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Dates |
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Fatalities |
Injuries |
Hazardous |
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Material Spills |
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Last Accident |
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Next Previous |
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Next Previous |
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TRAFFIC CONVICTIONS AND FORTEITURES FOR THE PAST 3YEARS (OTHER THAN PARKING VIOLATIONS) IF NONE, WRITE NONE
Location
Date
Charge
Penalty
(ATTACH SHEET IF MORE SPACE IS NEEDED)
EXPERIENCE AND QUALIFICATIONS – DRIVER
List all driver licenses or permits held in the past 3 years.
State |
License No. |
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Expiration Date |
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Driver
Licenses
A. Have you ever been denied a license, permit or privilege to operate a motor vehicle? |
Yes |
No |
B. Has any license, permit or privilege ever been suspended or revoked? |
Yes |
No |
If the answer to either A or B is Yes, GIVE DETAILS ______________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
Driving Experience Check Yes or No
Class of Equipment |
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Circle Type Of Equipment |
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Dates |
Approx. No. of Miles |
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Staight Truck |
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(Van, Tank, Flat, Dump, Refer) |
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Tractor & |
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Tractor – Two Trailers |
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No |
(Van, Tank, Flat, Dump, Refer) |
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Tractor – Three Trailers |
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No |
(Van, Tank, Flat, Dump, Refer) |
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Other _________________________________ |
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List States operated in for last five years __________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
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Education |
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Circle Highest Grade Completed |
1 2 3 4 5 6 7 8 High School |
1 2 3 4 College |
1 2 3 4 |
Last School Attended _____________________________________________________________________________________________
(Name)(City)
Show special courses or training that will help you as a Driver: ________________________________________________________________________________________
Which safe driving awards do you hold and from whom? _____________________________________________________________________________________________
Please fax completed copy to:
UNEMPLOYMENT RECORD
You must account for all periods of unemployment in the last five (5) years.
List all lost time in excess of 30 days.
Date Unemployed |
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_____ _______________________ |
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To be read and signed by applicant
I understand that this is an application and not a contract or a unilateral offer to enter into a contract of any kind betwee n the undersigned and the employer. The use of this application form does not indicate that there are any positions open and does not in any way obligate this employer.
I understand that employment is conditional upon and I authorize you to make such investigations and inquire of my personal, employment, financial and other legally related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from any and all liabilities and responding to inquires in connection with my application.
I hereby certified that all of the information I have given on this application is true and complete and that there are no false statements or omissions contained in my response to the questions in this application. I understand that any false information or omissions whether made or omitted intentionally or written and later discovered, may be cause for refusal to hire me or for immediate dismissal without further notice.
This application is current for only [60] days. At the conclusion of this time, if I have not heard from the Employer an d still wish to be considered for employment, it will be necessary for me to fill out a new application.
I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will b e contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:
Review information provided by previous employers.
Have errors in the information corrected by previous employers and for those previous employers to
Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
Signature ______________________________________________________ Date _______________________________________
Please fax completed copy to:
Form Characteristics
| Fact Name | Description |
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| Employer Information | The application is for employment at Piggly Wiggly Alabama Distributing Company Inc., located at 2400 J. Terrell Wooten Drive, Bessemer, AL. |
| Discrimination Protections | Under the Civil Rights Act of 1964, it is illegal to discriminate in employment based on race, color, religion, or national origin. |
| Age Discrimination Law | Public Law 90-202 protects against age discrimination in employment. |
| Physical/Mental Conditions Warning | Applicants are cautioned that misrepresentations regarding physical or mental conditions may void workmen's compensation. |
| Employment History Requirement | Applicants must provide an employment history for the past 3 years, including any employers where they operated commercial motor vehicles. |
| Application Validity Period | This application is valid for 60 days. If no communication has been received during this period, applicants must submit a new application. |
Guidelines on Utilizing Piggly Wiggly Application
Completing the Piggly Wiggly Application form is a straightforward process, but it requires attention to detail. It’s crucial to provide accurate information to enhance your chances of being considered for employment. Below are the steps to fill out the application form effectively.
- Date of Application: Write the current date in the designated area.
- Name: Fill in your last name, first name, and middle initial, taking care to print clearly.
- Social Security Number: Enter your Social Security number in the specified format.
- Date of Birth: Provide your birthdate, ensuring the format is month/day/year.
- Current Address: Write your current street address, city, state, and zip code.
- Phone Number: Include your phone number, using the area code format.
- Previous Addresses: List your previous addresses for the past three years, including how long you lived at each location.
- Employment Status: Indicate whether you have worked for Piggly Wiggly before, providing dates and your last position held.
- Current Employment: State your current employment status and detail how long it’s been since you last worked, if applicable.
- Criminal History: Answer the question regarding past convictions and, if applicable, provide a full description.
- Referrals: Indicate how you were referred to the position.
- Availability: Specify whether you are seeking full-time or part-time work and detail your available days and hours.
- Start Date: Write the date you are available to begin work.
- Emergency Contact: Provide contact details for someone to notify in case of an accident or emergency.
- Employment History: List previous employers over the past three years, including contact information, position held, and reasons for leaving.
- Accident Record: Document any accidents you have been involved in over the past three years or write “none” if applicable.
- Traffic Convictions: List any traffic violations, except parking, from the past three years or write “none.”
- Driver Licenses: Enter details regarding any driver licenses or permits held in the past three years.
- Experience and Qualifications: Answer questions about your driving experience and any qualifications relevant to the position.
- Unemployment Record: Account for any periods of unemployment lasting more than 30 days in the past five years.
- Signature: Sign and date the application, confirming the accuracy of the information provided.
Once you have completed the form, be sure to fax it to the specified number: (205) 481-2336. Double-check your entries for accuracy to avoid any delays in processing your application. Good luck!
What You Should Know About This Form
What is the purpose of the Piggly Wiggly Application Form?
The Piggly Wiggly Application Form is a tool for individuals seeking employment with the Piggly Wiggly Alabama Distributing Company. It gathers necessary personal information, work history, and qualifications to determine a candidate's suitability for various positions. Completing the form accurately is essential, as it helps create a clear picture of the applicant's background and experience.
What information is required on the application?
Applicants are asked to provide personal information, including their name, Social Security number, and addresses of residency for the past three years. Employment history is also crucial; applicants need to list all employers from the last three years, including reasons for leaving each position. Additionally, applicants should indicate any driving experience, traffic violations, and previous employer references.
Is there a specific format for submitting the application?
The application must be filled out completely and signed by the applicant. Once completed, it should be faxed to the designated number, (205) 481-2336. It’s important to double-check that all sections are filled out correctly to avoid any delays in processing.
What happens if I provide false information on the application?
Providing false information, whether intentional or by omission, can have serious consequences. If inaccuracies are discovered, it may lead to rejection of the application or even termination of employment if the false information is found after hiring. It is vital to ensure that all information is truthful and complete when filling out the application.
Do I need to reapply after a certain period?
The application is valid for 60 days. If an applicant has not heard from the employer within that time frame and still wishes to be considered for a position, they must fill out a new application. This policy helps ensure that the employer has the most current information regarding potential candidates.
How does the application ensure anti-discrimination compliance?
The application form includes language that aligns with the Civil Rights Act of 1964 and other legal protections, prohibiting discrimination based on race, color, religion, national origin, and age. By including this information, Piggly Wiggly demonstrates its commitment to a fair hiring process, ensuring that all applicants have the same opportunity based on merit.
Common mistakes
Completing the Piggly Wiggly application form can be a crucial step towards securing employment. However, many applicants make common mistakes that can hinder their chances. Understanding these pitfalls can significantly enhance your application experience.
One frequent error is **failing to read the entire application thoroughly**. Skimming through the questions can lead to missed details that are important. Each section of the application is designed to gather specific information, and overlooking any part may prevent your application from being considered complete.
Another mistake people make is **providing incomplete or vague information**. For example, when listing employment history or addresses, it’s essential to include full addresses and specific dates. Being general or skipping information can raise red flags for the hiring team.
Many applicants also forget to **double-check for typos and errors** in personal information. A simple mistake in your name, phone number, or social security number can complicate the hiring process. Attention to detail shows professionalism and can make a positive impression on employers.
Some individuals may **omit significant information**, such as past job roles or reasons for leaving jobs. If a candidate has gaps in employment or didn't provide a truthful explanation for previous job departures, this can create a lack of trust with potential employers.
Moreover, **not tailoring responses to the job being applied for** can be detrimental. If you want a driving position, it would be wise to emphasize relevant skills and experience. Generic responses may fail to showcase why you are a good fit for the specific role.
Another mistake is **neglecting to clarify any past convictions**. Many people feel uncomfortable disclosing criminal history. However, being forthright, especially if it is necessary, is often better than trying to conceal it. Transparency builds trust and integrity.
Additionally, applicants often fail to **indicate their availability clearly**. If your schedule is flexible or limited, specifying this helps employers understand how you fit into their needs. This step can lead to better job alignment and satisfaction on both sides.
Some also fail to **follow up after submitting the application**. A brief call or email can show enthusiasm and interest in the position. It demonstrates that you are proactive and serious about your job application.
Lastly, individuals sometimes **ignore the importance of the referral question**. If someone referred you, mentioning their name could provide a personal connection that enhances your application. This can set you apart from others vying for the same role.
By being aware of these common mistakes, applicants can approach the Piggly Wiggly application with confidence and clarity, greatly increasing their chances for success.
Documents used along the form
When applying for a position at Piggly Wiggly, several additional forms and documents may be required to complete the application process. Each of these documents serves a specific purpose and helps the employer assess the qualifications and background of the applicant. Below is a brief overview of these common forms and documents.
- Driving Record: This document outlines the applicant's driving history, including any accidents or traffic violations. A clean driving record is crucial for positions that require operating a vehicle.
- Work History Verification Form: Used to verify employment history, this form collects the necessary details from past employers. It confirms the applicant's work experience and job performance.
- Background Check Authorization: This form allows the employer to conduct a thorough background check on the applicant, including criminal history and verification of provided information.
- DOT Medical Examination Report: This report is required for commercial drivers and confirms that the applicant has passed a medical examination, ensuring they are fit to drive.
- Consent for Drug Testing: Because drug tests are often required for drivers, this document allows prospective employers to conduct tests to ensure compliance with safety regulations.
- Emergency Contact Information: This form requests information about a person to contact in case of an emergency. Providing accurate details is essential for workplace safety.
Completing all necessary documents accurately and thoroughly is vital for a successful application. Ensure that all forms are submitted promptly to facilitate the hiring process.
Similar forms
- Job Application Form: Similar to the Piggly Wiggly Application, a general job application form collects personal details, employment history, and qualifications. Both forms require information that helps employers evaluate candidates.
- Driver Employment Application: Specifically for drivers, this document includes additional sections on driving history, such as license information and criminal convictions. It is analogous to the Piggly Wiggly form, as both seek relevant background details to ensure the applicant meets necessary criteria.
- Employee Background Check Authorization: This document allows employers to check an applicant's employment and sometimes criminal history. Like the Piggly Wiggly Application, it gathers consent for investigations that aid in making informed hiring decisions.
- W-4 Form: This IRS tax form collects information about an employee’s tax withholding preferences. While focused on tax information, it parallels the application form's purpose of gathering essential data before employment can begin.
- Form I-9: This immigration form verifies a person's identity and employment authorization. Similar to the application form, it is a necessary document once employment is offered, ensuring compliance with legal requirements.
- Accident Report Form: Often required from employees in jobs that involve driving, this form requires details about any accidents. It is similar to the segments in the Piggly Wiggly Application that ask for accident records over the past few years.
- DOT Medical Card: Required by drivers to ensure they meet health standards, this card’s requirements align with the Piggly Wiggly Application's request for DOT physical examination information.
- Employer Reference Check Form: This document is used to gather information from previous employers about an applicant’s work history and conduct. Like the Piggly Wiggly Application, it seeks insights that may impact hiring decisions.
Dos and Don'ts
Things You Should Do:
- Print your information clearly to ensure it's readable.
- Provide accurate information about your previous employment history.
- List all contact numbers correctly for references.
- Indicate your availability for work concisely.
- Be honest about any criminal convictions, if applicable.
Things You Shouldn't Do:
- Don't leave any fields blank unless instructed otherwise.
- Avoid using nicknames; always use your full legal name.
- Don’t provide misleading or false information.
- Never forget to sign and date the application.
- Don’t assume previous employment details are known; include all required information.
Misconceptions
When it comes to the Piggly Wiggly Application form, a few misconceptions can lead to confusion. Let’s break down five of these misunderstandings to clarify the application process.
- Misconception 1: The application guarantees a job offer.
- Misconception 2: You don’t need to provide a complete employment history.
- Misconception 3: Criminal history does not need to be disclosed if it was a long time ago.
- Misconception 4: You can apply even if you don’t meet the age requirement.
- Misconception 5: You don’t have to account for unemployment periods.
It's important to understand that submitting this application does not automatically mean you will get hired. Think of it as your foot in the door. The employer uses this form to gather information and assess your suitability for open positions.
Completing your employment history as thoroughly as possible increases your chances of being considered. Skipping details might raise red flags. Make sure you list all relevant experience, especially any safety-sensitive roles.
All applicants must disclose any serious criminal convictions. Being honest about your past is crucial, as leaving out this information could lead to complications down the line.
The application explicitly asks if you can provide proof of age. To comply with legal standards, you must meet the minimum age requirements, generally 21 years for commercial drivers.
Many applicants think they can skip this part of the application. However, it’s essential to account for every employment gap over 30 days. This helps employers understand your work history and focus on your reliability.
Key takeaways
Key Takeaways for Filling Out the Piggly Wiggly Application Form
- Ensure accurate personal information. Fill out your name, social security number, and contact details clearly. Inaccuracies may lead to complications later.
- Detail your employment history thoroughly. List all previous employers from the past three years with correct dates. This helps Piggly Wiggly verify your work experience.
- Be honest about any criminal history. If you have been convicted of a crime, disclose this information in full. Failing to do so can have serious repercussions.
- Check your availability to start work. Clearly indicate when you can begin, whether you prefer full-time or part-time work, and specify your availability if part-time.
- Understand the implications of your application. Signing the form indicates that you agree to a background check and that the information you provided is true. Misrepresentation can lead to disqualification or job loss.
Filling out the application accurately and honestly is crucial for your potential employment with Piggly Wiggly. Approach the process thoughtfully and ensure all details are complete.
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