Safeway Application For Employment
Download a blank fillable Safeway Application For Employment in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Safeway Application For Employment with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5APPLICATION FOR EMPLOYMENT
(California Applicants ONLY)
To learn more & join the Safeway team visit
AN EQUAL OPPORTUNITY EMPLOYER
The Safeway policy is to provide employment, training, compensation, promotion and other conditions of employment without regard to race, color,
religion, sexual orientation, national origin, sex, age, disability, veteran status, medical condition, marital status or any other legally protected status.
Applicants must reapply at least once every two months to remain under consideration for employment.
PERSONAL INFORMATION
NAME
TEL. NO. (
)
First
Middle Initial
Last
OTHER NAMES USED FOR EMPLOYMENT OR EDUCATION (if any)
SOCIAL
SECURITY NO.
ADDRESS
Street/Apt. #
City
State
ZIP
County
FOR WHAT POSITION(S) ARE YOU APPLYING?
FULL-TIME
PART-TIME
EITHER
PREFERRED FACILITY/STORE?
YES
NO
IF UNDER 18, STATE YOUR AGE
ARE YOU UNDER THE AGE OF 18?
YES
NO
ARE YOU LEGALLY ABLE TO WORK IN THE UNITED STATES?
HAVE YOU WORKED FOR SAFEWAY OR ONE OF ITS AFFILIATED COMPANIES LISTED AT THE TOP OF THIS APPLICATION?
YES
NO
WHEN?
WHERE?
POSITION HELD?
REASON FOR LEAVING?
LIST THE NAMES OF RELATIVES EMPLOYED BY ANY OF THE SAFEWAY COMPANIES AND THEIR WORK LOCATION
NONE
NAME
RELATIONSHIP
WORK LOCATION
1.
2.
3.
YES*
NO
HAVE YOU BEEN CONVICTED OF A CRIME WITHIN THE LAST TEN (10) YEARS (other than a minor traffic violation)?
*Do not answer YES if the only reason for doing so is either:
(a) If the conviction or plea resulted in a pre-trial or post-trial diversion program; or
(b) If the record of the conviction has been judicially ordered sealed, expunged or statutorily eradicated; or
(c ) If the conviction is a misdemeanor conviction for which probation has been successfully completed or otherwise
discharged and the case has been judicially dismissed pursuant to Penal Code Section 1203.4; or
(d) If the conviction is under California Health & Safety Code sections 11357(b) or (c), 11360(b) (formerly section 11360(c)), 11364,
11365, or 11550, or their statutory predecessors which relate to marijuana convictions that occurred 2 or more years ago.
HAVE YOU, OR TO YOUR KNOWLEDGE HAS ANY PERSON UNDER YOUR SUPERVISION, EVER BEEN CONVICTED OF A VIOLATION OF CRIMINAL
LAW FOR SELLING OR SUPPLYING TOBACCO PRODUCTS TO A MINOR THAT WAS NOT OVERTURNED ON APPEAL, OR THE RECORD FOR WHICH
WAS NOT JUDICIALLY ORDERED SEALED, EXPUNGED, OR STATUTORILY ERADICATED, OR THE CASE WAS NOT JUDICIALLY DISMISSED PURSUANT
TO CALIFORNIA PENAL CODE SECTION 1203.4, OR WAS NOT RESOLVED BY A REFERRAL TO A PRETRIAL OR POST TRIAL DIVERSION PROGRAM?
YES
NO
IF THE ANSWER TO EITHER OR BOTH QUESTIONS ABOVE IS YES, EXPLAIN THE CIRCUMSTANCES BELOW WITHOUT IDENTIFYING THE NAMES OF
ANY OTHER PERSONS INVOLVED IN THE INCIDENT. (A “Yes” answer will not necessarily disqualify you from employment.)
DATE AVAILABLE FOR WORK
TOTAL HOURS AVAILABLE PER WEEK
(You may list time needed for religious practices/observances as “available” time.) The majority of retail store shifts are afternoons, evenings and weekends.
SUN
MON
TUES
WED
THURS
FRI
SAT
Earliest Time
Latest Time
1/2008
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business