Prisco’s Family Market

1108 Prairie Street, Aurora, IL 60506 | 630-264-9400

Hours: Monday - Friday, 7 am to 8:30 pm | Saturday, 7 am to 8 pm | Sunday, 8 am to 7 pm

My Account
Employment Application

Prisco's Family Market is an equal employment opportunity employer. Our company will provide reasonable accommodations with the application process upon your request consistent with applicable laws.

Personal Information

DATE:

YOUR NAME:
First:
Middle:
Last:
ADDRESS:
Street Address:
City:
State & Zip Code:
Home Phone No.:
Cell No.:

Are you at least 16 years old? (Please check)

Are you at least 18 years old? (Please check)

Are you legally authorized for employment in the United States? (Please check)

If hired, will you be able to provide proof of legal eligibility to work? (Please check)

How did you hear we were hiring?


Employment Desired


Position:
Date You Can Start:
Salary Desired:

Please list your availability to work:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday


What is the number of maximum hours you can work perweek?
What is the number of hours you prefer to work per week?
To better serve our customers do you speak any languages other than English?

EVER APPLIED TO THIS COMPANY BEFORE?

WHERE?
WHEN?


Education History

NAME & LOCATION OF SCHOOL Years Completed STATUS SUBJECT STUDIED
HIGH SCHOOL
COLLEGE
OTHER


Employment Experience
(Please list your employment experience, starting with the most recent first.)
Are you currently employed? 
If yes, may we contact your current employer?  
(Prisco's Family Market will only contact current employer only if you consent. Our Company reserves the right to contact the other employers listed without any further notice to you.)

FROM
MONTH & YEAR
TO
MONTH & YEAR
NAME, ADDRESS & PHONE OF EMPLOYER SALARY POSITION/DUTIES REASON FOR LEAVING
GENERAL INFORMATION

SUBJECT OF SPECIAL STUDY /RESERCH
WORK OR SPECIAL TRAINING/SKILLS
Military ExperiencePosition/Supervisor

REFERENCES
GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVEKNOWN AT LEAST ONE YEAR.
NAME ADDRESS PHONE NUMBER BUSINESS Relationship
PLEASE READ CAREFULLY BEFORE SIGNING

I certify that all the information submitted by me on this application is true, correct and complete. I understand that if any false information, omissions, or misrepresentations on this form or provided in any interview are discovered, my application may be rejected, and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules, regulations and Supervisor’s directions. I understand that this Application forEmployment and other Company documents are not contracts of employment. I agree that if I am employed, my employment is at-will, and that my employment, compensation or benefits can be changed or terminated, with or without cause or reason, and with or without notice, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause or reason, and with or without notice, at any time by the company. I understand that no company representative, other than the President, and then only in writing and signed by both of us, has any authority to enter into any agreement foremployment for any specific period of time or to make any agreement contrary to the forgoing. I further authorize the Company to investigate my references, personal history, work record, and other matters related to my suitability for employment, as well as credit or criminal records checking. I authorize all of this information to be provided to the company or their agent and release them from any and all claims, demands or liability arising out of or in any way related to such investigation or disclosure. I understand that if hired, I may be required to pass a criminal history records check. Also, if required, I agree to complete, fully participate in and pass a drug and/or alcohol test. Please note that this application is considered current for 30 days. After 30 days, it is necessary to complete another application form to be considered for employment


DATE: SIGNATURE: