Meat Wrapper Customer Service

William Harrell’s Employment Application

Application Date: 4/19/2023

Job Title: MEAT WRAPPER ASSOCIATE (Beaver)

Job Location: 8299 W Beaver St, Jacksonville, FL

Personal Information

First Name: William

Preferred Name: William

Last Name: Harrell

Email: ******************@*****.***

Contact Information

Mobile: 904-***-****

Address: 1860 University Blvd S

City: Jacksonville

State: FL

Zip Code: 32216

Current Employer or Most Recent Work Experience

Job Title: Not working right now

Employer Name: Not working right now

Currently Employed? n/a

Start Date: 2023-04-19

End Date: 2023-04-19

Previous Employer

Job Title: Manager

Employer Name: Harrell's I.G.A

Start Date: 2000-01-01

End Date: 2019-10-01

Have you ever been employed by Rowe"s IGA LLC? No

If so, which location and when? n/a

Desired Work Locations

Other Rowe's location(s) you would like to be considered for employment. Select all that apply. Blanding/103rd, Beach Blvd, Dunn Ave, Wells Rd, Beaver St, Baymeadows, Edgewood Other position(s)/ department(s) Interesested in working? Select all that apply. Service Clerks, Stock/Center Store, Produce, Cashier/ Customer Service, Seafood, Sanitation Are you legally eligible to work in the US? Yes

Have you ever been convicted of an offense other than a minor traffic violation in the past seven years ( including convictions by a military court-martial)? No

If yes in the previous question, please explain each conviction with the date, charge and sentence received. n/a Are you over the age of 18? YES

Desired Pay? n/a

Have you had or do you have any relatives working at Rowe’s: No What date are you available to start? 2023-04-19

Rowe's recruits for year-round availability and is proud to offer flexible scheduling. Are you interested in year-round employment?*: Yes

Which days of the week are you available to work? Select all that apply. Saturday, Sunday, Monday, Tuesday, Wednesday, Thursday, Friday

What period of the day are you available to work? Select all that apply. Morning, Afternoon, Evening How many employers have you had in the last 3 years, regardless of the length of employment. Previous employers will be discussed during the interview process.*: 0-3 Other Experience

INDICATE ANY OTHER EXPERIENCE, SKILLS, CERTIFICATIONS, OR JOB-RELATED TRAINING: n/a Rowe's is open 365 days out of the year and is particularly busy on days leading up to and including holidays. Are you able to work the days leading up to and the holidays? *: Yes If hired, you are expected to be at work and ready to start work at your scheduled start time. Knowing that your shifts may vary within your stated availability; Do you have reliable transportation that will get you to work on time? *: Yes I certify that I have read and understand that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief, and I release any and all parties from any and all liability for any and all statements, writing, conversations, or communications, of any form, with this Employer regarding any entry on this form and other material I have provided. I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I understand that this employment application and any other company documents do not constitute a contract of employment and that if hired, I agree that my employment is at-will and I agree to abide by all Company work rules, policies, and procedures and that I or the company may terminate my employment at any time for any reason. I also understand that the use of illegal drugs is prohibited during employment. Upon offer of employment, I agree to take any lawful examination or test, including any drug and/or alcohol test, required by the company as a condition of my being hired, or if I am hired, as a condition of my continued employment. I further agree that my refusal to take any such lawful examination or test constitutes ground for, and will cause the company not to employ me, or if I am employed, to terminate my employment. I release the company and all named and unnamed sources from all liability which may result from any lawful examination or test. I have read and agree to this statement. Privacy Policy Acknowledgement

By checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by Paycor on behalf of Rowe's IGA Supermarkets. The privacy policy offers an explanation of how and why your data will be collected, how it will be used and disclosed, how it will be retained and secured, and what legal rights are associated with that data (including the rights of access, correction, and deletion). The policy also describes legal and contractual limitations on these rights. The specific rights and obligations of individuals living and working in different areas may vary by jurisdiction.

Acceptance: I have read and agree to this statement

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