Online Employment Application :: Miller's Markets


Norwalk	Miller's Norwalk	117 Whittlesey Avenue	44857
Clyde	Miller's Clyde	505 West Maple Street	43410
New London	Miller's New London	166 West Main Street	44851
Genoa	Miller's Genoa	22361 W Holt Harrigan Rd	43430
Lodi	Miller's Lodi	711 Wooster Street	44254
Montpelier	Miller's Montpelier	1444 Whitaker Way	43543
Ashland	Miller’s Hawkins	1617 Claremont Avenue	44805

Garrett	Miller's Garrett	1350 South Randolph Street	46738
Rome City	Miller's Rome City	202 Kelly Street	46784
Lagrange	Miller's Lagrange	420 South Detroit Street	46761
Nappanee	Rite Choice Foods	1303 E. Market St.	46550

Battle Creek	Save A Lot	250 Roosevelt Ave	49017

Online Employment Application

Date: *
Full Name: *
Current Address: *
Previous Address:
Telephone: *
Best time to call: *
Position(s) desired: *
Date available: *
Applying for: *
What location are you applying to? *
If you are under 18 years of age, can you provide required proof of your eligibility to work? *
Have you been convicted of a felony within the last 7 years? *
If "Yes", please explain. (Answering this question does not necessarily mean that you will be excluded from this position, due consideration is given to circumstances surrounding conviction):
How were you referred to us? *
Have you ever applied with us before? *
Have you ever been disciplined at work for tardiness or poor attendance? *
Are you currently employed? *
If "Yes", may we contact your employer?
Are you currently on “lay-off” status and subject to recall? *
Name and address of high school you attended:
Number of years completed:
Did you graduate?
Course of study or major:
Name and address of colleges you've attended:
Number of years completed:
Did you graduate?
Course of study or major:
Name and address of vocational or trade schools you have attended:
Number of years completed:
Did you graduate?
Course of study or major:
Describe any other credentials or special skills you may have and include proficiency levels (i.e. professional/technical licenses, data processing/computer skills, etc.): *
Do you plan to continue your education? *
Have you ever served in the Armed Forces of the United States? *
If "Yes", in what area?
If "Yes", what branch of service?
State duties or specialized training:
Name and address of previous employer 1:
Position held:
Rate of pay:
Reason for leaving:
Supervisor:
Name and address of previous employer 2:
Position held:
Rate of pay:
Reason for leaving:
Supervisor:
Name and address of reference 1: *
Occupation: *
Telephone: *
Name and address of reference 2: *
Occupation: *
Telephone: *
Do you like to cook?
What is your favorite food/meal?
Explain what "Excellent Customer Service" means to you:
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?
Please type the letters and numbers shown in the image.

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