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The Weis Employment Application form serves as a vital tool in the hiring process, designed to gather essential information about potential candidates. Emphasizing a commitment to Equal Employment Opportunity, it reinforces the company's pledge to maintain a fair and inclusive hiring environment, free from discrimination based on various factors such as age, race, gender, and disability status. The application is structured to collect personal data, including your contact details, work authorization status, and address history. It also inquires about your education and employment history, specifically prompting you to list recent employers along with relevant job duties. The form provides a section for applicants to outline their availability, particularly given the flexible and demanding nature of retail work, and asks about wage expectations. Moreover, it includes queries regarding criminal history and past employment experiences to help ensure that all candidates are evaluated with consistency and fairness. Importantly, this document remains active for 60 days, encouraging timely responses from applicants who wish to be considered for available positions. Upon filling out the form, you will be asked to sign and certify the truthfulness of your information, further establishing the integrity of the application process.

Weis Employment Application Example

weis Application for Employment

Weis Markets is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of actual or perceived age, sex, sexual orientation, race, color, creed, religion, familial status, ethnicity, national origin, alienage or citizenship, disability, marital status, military or veteran status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. Applicants with a disability may be entitled to reasonable accomodation under terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accomodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Weis Markets. Please inform a Company representative if you need assistance completing any forms or to otherwise participate in the application process.

This application will remain active for 60 days, after 60 days, you must reapply for further consideration.

 

PLEASE PRINT CLEARLY

 

DATE ______________________

 

(USE PEN ONLY)

 

 

 

 

 

 

 

PERSONAL DATA

 

 

NAME_____________________________________________________________________________________________________

last

first

 

middle initial

ADDRESS__________________________________________________________________________________________________

street

city

state

zip

TELEPHONE ( ________ )___________________________ SOCIAL SECURITY NO.__________________________________

area code

number

 

 

Are you under the age of 18? YES

NO

If yes, please state your age_____________________

Are you legally authorized to work in the United States? YES

(If hired, verification will be required consistent with federal law)

NO

Have you ever been convicted of a felony which has not been expunged or sealed by a court? YES

NO RECORD

You should answer “no record” if a conviction has been sealed or expunged or otherwise statutorily eradicated. If you checked yes, please explain below. If more space is required, please use seperate sheet. A criminal conviction will not necessarily be a bar to employment. To help us evaluate your application, please describe the nature of the crime and your subsequent rehabilitation.

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

How were you referred to us? Advertisement

Weis employee

Walked in

School

Employment Agency

State Employment Office

Other

(specify)________________________________________________

EMPLOYMENT AVAILABILITY

Position(s) applied for_______________________________________________ Date you can start____________________________

month/day/year

Wages desired? $______________per hour, or $______________per week

We are a 7-day-a-week business with emphasis on nights and weekends. Please indicate your availability below:

Full Time

Part Time

(How many hours?___________)

Days

Evenings

Nights

Weekends

Put the specific hours (From/To) you are available for work in the boxes below. (Leave the box empty if you are not available at all that day and write “A” under any day you are “available” all that day without any scheduling restrictions.)

SUN

MON

TUE

WED

THU

FRI

SAT

From (AM/PM)

To (AM/PM)

Form #45 Revised 6-1-04

 

 

 

 

EDUCATION

 

 

Name and location of school

 

Circle highest year

Graduated

Degree/Major

 

 

 

 

completed

 

 

 

 

 

 

 

 

 

 

 

High School or GED

 

 

9

10

11

12

YES

 

NAME:

 

 

 

 

 

NO

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

College or University

 

 

FR

SO

JR

SR

YES

 

NAME:

 

 

 

 

 

NO

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (Specify)

 

 

1

2

3

4

YES

 

NAME:

 

 

 

 

 

 

 

 

 

NO

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you now enrolled? YES

NO

If yes, name and location of school__________________________________

Availability during school vacations: FULL

PART

NONE

 

 

 

 

Other education, training, skills or hobbies relevant to employment consideration________________________________

___________________________________________________________________________________________________________

EMPLOYMENT HISTORY

*Beginning with the most recent employment, list the last four employers (including military service) or cover at least a seven year period, whichever is longer. Use seperate sheet if necessary.

Current or Most Recent Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Previous Employer

Phone (

)

From

 

To

 

 

 

 

Mo.

Yr.

Mo.

Yr.

Street

 

 

Base Salary or Wage

 

 

 

 

 

Starting

 

Ending

 

City

State

Zip

Supervisor’s Name

 

 

 

 

 

 

 

 

Job Title and Duties

 

 

Reason for leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*ALL employment information above must be completed in full for your application to be considered.

In the past seven years have you ever been discharged, suspended or asked to resign by an employer? YES

 

NO

If yes, give employer name, date of action, and reason _________________________________________________________________

___________________________________________________________________________________________________________

Have you ever worked for us? YES

NO

If yes, and not included above, give dates employed, position, any other name used and reason for leaving________________________

___________________________________________________________________________________________________________

May we contact your present employer at this time for a reference? YES

NO

For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any of the

organizations you have listed? YES NO

If yes, specify name _________________________________________________________________________________________

REFERENCES

List two professional references familiar with your work ability (exclude relatives)

Full Name (not related to you)

 

 

 

Full Name (not related to you)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

Street

City

State

Zip

Address

Street

City

State

Zip

 

 

 

 

 

 

 

 

 

 

 

Phone

 

Occupation

 

 

 

Phone

 

Occupation

 

 

 

 

 

 

 

 

 

 

 

How acquainted and for how long?

 

 

 

How acquainted and for how long?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

READ CAREFULLY AND SIGN

PLEASE READ THESE STATEMENTS OVER CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING AT THE BOTTOM

I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment.

____________Initials

I understand, where permissible under applicable state and local law, I may be subject to a pre-employment drug test after

 

receiving a conditional offer of employment, and must receive a negative result before being permitted to commence

 

work with Weis Markets.

____________Initials

I understand, where permissible under applicable state and local law, I may be subject to a pre-employment medical

 

examination after receiving a conditional offer of employment, and must meet the qualifications for the position,

 

with or without reasonable accommodation, before being permitted to commence work with Weis Markets.

____________Initials

I hereby certify that the information given by me is true in all respects. I authorize Weis Markets and its representatives

 

to contact my prior employers and all others for the purpose of verification of the information I have supplied and

 

release same from any liability resulting from the information released. I authorize employers, schools and other

 

persons named on this application to provide any information or transcripts requested.

____________Initials

I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual

 

consent and may be terminated at will, with or without cause, by either party (the employer or me) without prior

 

notice to the other, unless otherwise prohibited by law.

____________Initials

I understand that no representation, whether oral or written, by any representative or agent of Weis Markets, at any time,

 

can constitute an implied or expressed contract of employment. I further understand no representative or agent of

 

Weis Markets, has the authority to enter into an agreement for employment for any specified period of time or to make

 

any change in any policy, procedure, benefit or other terms or condition of employment other than in a document signed

 

by the Director of Human Resources or his/her authorized representative.

____________Initials

FOR MARYLAND APPLICANTS ONLY:

Maryland lie detector law - “Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not exceeding $100.”

 

Acknowledgment of Maryland Lie Detector Law: _______________________________________________________

Date___________________

 

Maryland applicants signature required.

 

 

 

 

 

 

I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any falsification

or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time

 

lapse before discovery.

____________Initials

Note: An offer of employment is conditioned upon complying with Weis Markets’ requirements including, but not limited to signing a Consent to Conduct an Investigation.

MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS

Applicant’s signature __________________________________________________________________ Date____________________________

Click to Save to Desktop

 

Click to Email Now (Please put the Weis Location in the subject line)

 

 

 

Form Characteristics

Fact Name Description
Equal Employment Opportunity Weis Markets adheres to a strict policy that prohibits discrimination based on various protected characteristics, ensuring fair treatment for all job applicants.
Disability Accommodations Applicants with disabilities have the right to request reasonable accommodations in accordance with the Americans with Disabilities Act and state-specific laws.
Application Validity The application remains active for a period of 60 days. After this period, individuals must reapply for consideration.
Age Requirement Applicants must disclose if they are under the age of 18, as this may affect employment eligibility.
Criminal Record Disclosure Applicants are required to disclose felony convictions that have not been sealed or expunged, while emphasizing that a conviction does not automatically disqualify them from employment.
Maryland Specific Law For job applicants in Maryland, a law prohibits employers from requiring lie detector tests as a condition of employment.
Employment Verification Verification of information provided in the application may include contacting previous employers or educational institutions.
At-Will Employment Employment at Weis Markets is considered at-will, meaning either the employer or the employee can terminate the employment relationship at any time, with or without cause.

Guidelines on Utilizing Weis Employment Application

Completing the Weis Employment Application form is a crucial step in pursuing a position with Weis Markets. Taking care to provide accurate and complete information will help enhance your candidacy. Here’s a straightforward guide to assist you in filling out the application efficiently.

  1. Date: Write the current date clearly in the designated space at the top of the form.
  2. Personal Data: Fill in your name (last, first, middle initial) and complete your address, telephone number, and social security number. Use a pen to ensure clarity.
  3. Age and Authorization: Indicate if you are under 18 and confirm your legal authorization to work in the U.S. by checking the appropriate box.
  4. Criminal Record: State whether you have any felony convictions that haven’t been expunged or sealed. If yes, provide the explanation in the space provided.
  5. Referral Source: Indicate how you heard about the job by selecting one of the options listed.
  6. Employment Availability: Specify the position you're applying for, the date you can start, and your desired wage. Indicate your availability for work during various hours and days by filling in the provided schedule.
  7. Education: List your educational background including high school and any college or university attended. Circle the highest year completed and indicate whether you graduated.
  8. Employment History: Document your employment history starting with your most recent job. Include employer names, addresses, contact numbers, dates of employment, salary details, job responsibilities, and reasons for leaving. Ensure this section is fully completed.
  9. References: Provide two professional references who are familiar with your work. Include their names, addresses, phone numbers, occupations, and your relationship with them.
  10. Final Statements: Read and initial each statement confirming the accuracy of your information and your understanding of the employment conditions. Sign and date the bottom of the application.

What You Should Know About This Form

What is the purpose of the Weis Employment Application form?

The Weis Employment Application form serves to gather essential information about candidates interested in job opportunities with Weis Markets. It includes sections for personal data, education, employment history, and references. Additionally, it allows the company to understand the applicant's qualifications and availability for employment.

Does Weis Markets have a non-discrimination policy?

Yes, Weis Markets adheres to a strict non-discrimination policy. The company does not discriminate against applicants or employees based on age, sex, sexual orientation, race, color, creed, religion, familial status, ethnicity, national origin, alienage, disability, marital status, military status, or any other legally recognized basis. This commitment is in accordance with federal, state, and local laws and regulations.

How long will my application remain active?

Your application will remain active for 60 days from the date of submission. After this period, if you wish to be considered for employment again, you will need to reapply.

Are there accommodations available for applicants with disabilities?

Yes, Weis Markets provides reasonable accommodations for applicants with disabilities. If you require assistance during the application process or need modifications to complete the form, you are encouraged to inform a company representative.

What information do I need to provide about my employment history?

When completing the application, you are required to list your last four employers, covering at least the last seven years. This should include the name of the employer, dates of employment, job title, job duties, and reasons for leaving. If you have military service, that should also be included.

Can I apply if I have a criminal record?

A criminal record does not automatically disqualify you from employment. The application allows you to disclose any felony convictions that have not been expunged or sealed. To help with your application evaluation, you should describe the circumstances surrounding the conviction and any rehabilitation you have undertaken.

How should I report my availability for work?

The application prompts you to indicate your availability clearly. You will need to specify whether you are seeking full-time or part-time work, along with the specific days and hours you are available. This includes reporting whether you are available on weekends and evenings, which are critical times for Weis's operations.

What should I do if I need to modify my application after submission?

If you need to make changes or updates to your application after submission, you will generally need to reapply. The application remains active for only 60 days, and significant changes can affect your considerations for job openings during that time.

How can I check my application status?

To check your application status, you may reach out directly to the hiring representative or location where you submitted your application. It's always a good practice to follow up to express continued interest and to inquire about the next steps in the hiring process.

Common mistakes

Filling out the Weis Employment Application form can seem straightforward, but there are common pitfalls that applicants often encounter. One major mistake people make is failing to print clearly. This application requires legible handwriting for contact information and other critical details. Illegible writing can lead to misunderstandings and delays in processing the application.

Another frequent error is not providing complete employment history. Applicants often overlook sections that require them to list job titles, supervisors’ names, and reasons for leaving previous jobs. Incomplete sections can cause the application to be rejected outright. It's essential to provide all required details for every employer, even if the information seems trivial.

Many people also forget to check how they answer questions. For instance, not answering “Are you legally authorized to work in the United States?” correctly can result in disqualification. It is important to be honest and deliberate when responding to these questions to avoid complications later.

Some applicants may fail to update their availability accurately when applying. If someone indicates availability that does not match their actual schedule, it can create headaches for both the applicant and the employer. Make sure to reflect genuine availability in the provided boxes.

Additionally, neglecting to list references can diminish an application’s strength. Two professional references are required; applicants often mistakenly think they can skip this section. References serve as validation of your work history and skills, making them essential to the process.

Another area to watch is the question about criminal history. If you have a record that is not sealed or expunged, responding honestly is crucial. Failing to disclose this information can lead to denial of employment or future termination if discovered later.

Misunderstanding the 60-day rule is another potential issue. Some candidates do not realize their application becomes inactive after 60 days and think it remains open indefinitely. Reapplying after this period is necessary if you wish to be considered for a position again.

Errors can also occur in listing educational qualifications. Sometimes applicants skip entering the details of their highest degree or fail to indicate whether they graduated. Ensuring completeness in this section is just as important as in employment history.

Moreover, using inappropriate language when describing prior job experiences or reasons for leaving can be damaging. The application is a formal document, and maintaining a professional tone throughout is essential. Inappropriate comments might raise red flags for hiring managers.

Lastly, applicants sometimes forget to initial each statement at the end of the application. This step is critical as it shows understanding and agreement with the terms laid out by Weis Markets. Skipping this could signal a lack of attention to detail, negatively affecting your chances of being hired.

Documents used along the form

The Weis Employment Application form serves as a critical step for those seeking employment with Weis Markets. Along with this application, several other documents are often required to help the company assess an applicant's qualifications and eligibility. Here is a list of additional forms and documents that are commonly used during this process.

  • Resume: This document presents an applicant’s professional history, education, skills, and accomplishments. It provides a concise overview of past jobs and pertinent experiences that illustrate qualifications for the position applied for.
  • Cover Letter: A cover letter accompanies the application and explains an applicant’s interest in the position. It allows the candidate to highlight relevant experiences and skills in a personalized manner, making a stronger case for their candidacy.
  • References List: This document includes names and contact information for individuals who can vouch for the applicant’s professional skills and work ethic. It is crucial for providing evidence of the applicant's capabilities and reliability in the workplace.
  • Criminal Background Check Consent Form: This form grants permission to Weis Markets to conduct a background check. Such checks are often standard procedures to ensure the safety and security of the workplace by reviewing any potential criminal history.
  • Tax Withholding Form (W-4): This document is required for determining the amount of federal income tax to withhold from an employee’s paycheck. It must be completed accurately to ensure compliance with tax regulations.

Providing these additional documents along with the Weis Employment Application can increase the chances of being considered for employment. It demonstrates thoroughness and readiness to engage in the job application process effectively.

Similar forms

The Weis Employment Application form shares similarities with several other important documents in the employment process. Here’s a closer look at four of those documents:

  • Job Application Form: Like the Weis Employment Application, a standard job application form gathers personal information, employment history, and qualifications from candidates. Both forms often require details about past roles, education, and relevant skills, ensuring employers can assess suitability for the job.
  • Resume: While a resume is often a more personalized and tailored document, it serves a similar purpose to the Weis Employment Application. Both documents highlight a candidate's work experience, education, and skills, allowing potential employers to evaluate their fit for the position.
  • Cover Letter: A cover letter complements the application process by providing a narrative that explains why a candidate is a good fit for the job. Like the Weis Employment Application, it addresses the candidate's qualifications and motivations, allowing the employer to understand the applicant on a deeper level.
  • Reference Check Form: Similar to the Weis Employment Application, a reference check form collects essential information about a candidate's past performance. Both involve questions about previous employment and character, enabling the employer to verify claims made by the applicant.

Dos and Don'ts

Filling out the Weis Employment Application form can be a straightforward process if approached thoughtfully. Here are some helpful tips on what to do and what to avoid.

  • Do print clearly: Use a pen and ensure your handwriting is legible. This helps avoid misunderstandings and processing delays.
  • Do answer all questions: Complete every section to the best of your ability. Incomplete applications may not be considered.
  • Do be honest: Provide truthful information regarding your employment history, criminal record, and education. Misrepresentation can lead to disqualification.
  • Do indicate availability: Clearly state your work availability, including specific days and hours. This helps the employer assess your fit for the position.
  • Don't leave blank spaces: If a question does not apply to you, indicate "N/A" instead of leaving it empty. This clarifies that you aren’t skipping it.
  • Don't provide incomplete references: Ensure the references listed are professional and not relatives. Incomplete information may hinder their contact.
  • Don't forget to sign: After reading and initialing each paragraph, make sure to provide your signature. Omitting this step can mean your application isn't valid.
  • Don't rush: Take your time while filling out the application. Carelessness might lead to errors that could affect your chances of being hired.

By following these guidelines, you can enhance your application experience and present yourself positively to potential employers at Weis Markets.

Misconceptions

Misconception 1: The Weis Employment Application requires unnecessary personal information.

This application asks only for relevant personal details to assess your eligibility for employment while adhering to anti-discrimination laws.

Misconception 2: You cannot get hired if you have a criminal record.

A criminal conviction does not automatically disqualify you from employment at Weis Markets. Rehabilitation efforts can be considered during the evaluation.

Misconception 3: You must be available full-time to apply.

The application offers options for both full-time and part-time positions, accommodating varying availability, including nights and weekends.

Misconception 4: The application process is overly complicated.

While it is thorough, each section aims to gather essential information to streamline the hiring process and ensure you meet the qualifications.

Misconception 5: You cannot receive accommodations if you have a disability.

Weis Markets is committed to providing reasonable accommodations as required by the Americans with Disabilities Act, ensuring equal opportunity for all applicants.

Misconception 6: You will not hear back after submitting the application.

The application remains active for 60 days, and if not hired during that time, you are encouraged to reapply for continued consideration.

Misconception 7: Previous employment history is optional.

Completing the employment history section is mandatory. Incomplete information may hinder your application from being considered.

Misconception 8: Weis Markets does not follow equal employment opportunity guidelines.

Weis Markets is dedicated to equal employment opportunities and prohibits discrimination based on various protected characteristics.

Misconception 9: The application is only for certain age groups.

The application is open to all age groups. However, anyone under 18 must indicate their age and may need parental consent in some circumstances.

Key takeaways

Key Takeaways for Filling Out the Weis Employment Application Form:

  • Complete the form in clear, legible handwriting using a pen. Mistakes can complicate the review process, so take your time to ensure accuracy.
  • Disclose all relevant personal and employment history honestly. Any omission or falsification can lead to disqualification or future termination.
  • Be aware of your rights. If you have a disability and require reasonable accommodations during the application process, do not hesitate to inform a company representative.
  • Your application will remain active for 60 days. After this period, you will need to reapply for further consideration, so keep track of your submission date.