top of page

General Information

Birthday
Month
Day
Year
Date
Month
Day
Year
I'm interested in working at:
Marital Status
Married
Single
Divorced
Gender
Female
Male
Race
Caucasian
Hispanic
Afro-American
Are you related to anyone at Red Line Markets, Wild Bill's or Bill Gray, Inc?
Yes
No

Employment Details

Employment Desired
I can work:
Full Time Shifts I Can Work:
Part Time Shifts I Can Work:
Are you employed now?
Yes
No

Education

Are you currently attending school?
Yes
No

Work History & References

Do you smoke?
Yes
No
Do you agree if hired not to sell cigarettes or alcohol to minors?
Yes
No

The information which I have provided in my application for employment is factual and truthful. I understand that if I am employed, any false or misleading statements on this application will be considered sufficient cause for termination. I understand that if employed, my performance and activity in my work area may be monitored through surveillance. I further understand and agree that if employed, I am personally responsible for reporting any behavior, which I observe or am aware of, that may violate the company's policies on equal opportunity and harrassment. I agree to submit to any drug or alcohol testing that may be required as a condition of employment. If employed, I understand that refusal to immediately submit for required testing will result in my immediate termination. If employed, I agree to comply and abide by all rules, regulations, policies and procedures of Red Line Markets, Wild Bill's, Union Grocery, Gray Transport Services or Bill Gray Inc. If employed, I agree to a ninety (90) day probationary period before being considered as a regular employee. I understand that my employment is terminable at will, that I am not being employed for any specific period of time, and that this application is not intended to be a contract of any kind. I also understand that Red Line Markets, Wild Bill's, Union Grocery, Gray Transport Services or Bill Gray Inc. or I may terminate my employment and compensation at any time, with or without cause. I further understand that no oral representation made to me during the process of this application or after my hire, and nothing contained in any written communication, in no way consitutes a contract of employment for any definite period of time. You will be required to have an exit interview with your supervisor before your last check will be issued.

*I understand that typing my name in this form serves as my electronic signature and confirms that the information provided is accurate and submitted by me.

Date
Month
Day
Year
bottom of page