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Lewis Food Town Employment Application


Federal law prohibits discrimination on the basis of race, color, religion, disability, sex or national origin, as well as discrimination on the basis of age against persons over the age of 40. Some state and city legislation prohibits discrimination on the basis of age, marital status, sexual preference, race, color, religion, sex, national origin or any other basis prohibited by law. This employment application is only active for 30 days. After this time period, a separate employment application must be submitted in order to be considered for employment.

Fill the form below to apply.

per year

If the job you are applying for requires driving:

(NOTE: Proof of U.S. citizenship or immigration status will be required if hired.)

If you answered yes to any of the previous question, state the nature of the offense and disposition of the case. Include dates and places.

(NOTE: Felony convictions or the existence of a criminal record do not constitute an automatic bar to employment.)

Employment Data


Military Service

Work History

(Please list your last three employers. Begin with the most recent.)

per year
per year

per year
per year

per year
per year

Check over the foregoing application, making sure it is complete and signed.