San Diegos Premier Natural Foods Grocer

Overview | Carmel Valley | Escondido | Carlsbad | 4S Ranch

Application for Employment

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based upon job related factors. Please complete our online job application.

Fields marked with an asterisk(*) are required

Date *

Phone *

Name *
Address *
City *	State *	Zip *
Email Address*
Social Security Number *

In Case of Emergency, Contact:

Name

Phone

Relationship

Are you 18 or older? * Yes No
Have you previously worked at Jimbo's? Yes No
If so, when and at which store? Escondido Carmel Valley Carlsbad

4S Ranch

Location Requested

Carmel Valley

Escondido

Carlsbad

4S Ranch

Any

Position(s)/Department(s) you are applying for (check any)

Cashier	Dairy/Frozen	Office/Bookkeeping
Grocery	Kitchen	Deli Counter/Juice Bar
Bakery	Meat/Seafood	Vitamins/Body Care
Produce	Courtesy Clerk	Other

Wage Expected

Date Available to Begin Work *

Hours Per Week Desired

Hours you are available to work (please be specific by day):

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
From
To

Jimbo's makes an effort to accommodate employee's schedule needs, but we cannot and do no guarantee a set or specific schedule. Because we are a retail store, you may be scheduled to work weekends and holidays.

EDUCATION
List schools attended (including military) and any certificates or degrees earned:

High School *:

Check Highest Grade Completed *: 9th 10th 11th 12th GED

College:
Years Completed:
Major area of study:

Trade, Business or Graduate School:

EMPLOYMENT HISTORY
Begin with most recent

Employer #1 Job Title * Address *	Dates Employed * From: To:
Responsibilities *
Supervisor Name * Supervisor Phone Number *	Hourly Wage/Salary * Beginning: Ending:
Reason for Leaving *

Employer #2 Job Title Address	Dates Employed From: To:
Responsibilities
Supervisor Name Supervisor Phone Number	Hourly Wage/Salary Beginning: Ending:
Reason for Leaving

Employer #3 Job Title Address	Dates Employed From: To:
Responsibilities
Supervisor Name Supervisor Phone Number	Hourly Wage/Salary Beginning: Ending:
Reason for Leaving

If you are presently employed, may we contact your employer? * yes no

BACKGROUND

What skills have you developed in your previous jobs or outside of work that relate to the job for which you are applying?

What customer service skills would you bring to Jimbo's?

What is your orientation to natural foods?

Why do you want to work at Jimbo's?

Please list job related organizations, clubs, professional societies, or other associations that may have been significant or meaningful for you. (You may omit those which indicate race, religion, physical or mental disabilities, medical condition, marital status, national origin, ancestry, sex or age.)

CHARACTER REFERENCES Please exclude relatives and former employers
Name #1 *
Address *	Phone *
Name #2
Address	Phone
Name #3
Address	Phone

Do you have the legal right to work in the United States? * yes no

As a matter of company policy, all offers of employment are contingent upon your ability to satisfy federal requirements respecting proof of your identity and lawful right to work in the United States. Can you, after employment, submit verification of your legal right to work in the United States? * yes no

Have you ever been convicted of a crime (except any offense covered by Labor Code Section 432.8)? * yes no

If yes, please give the date and details of the conviction
(Conviction of a crime will not necessarily disqualify an applicant from employment.)

Please read the following statements carefully before signing:

I declare that all information in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize Jimbo's...Naturally (here and after referred to as "the Company") to contact any of my previous employers, as well as any reference source, to verify the facts and information that I have furnished regarding my qualifications and character. I authorize any person(s) having knowledge to provide such information in good faith. I authorize the Company and its agents to verify any information related to my application or resume. I also authorize individuals, schools, employers and law enforcement or government officials to freely release any information concerning my background, and hereby release any and all of them from any liability for doing so.

I understand that this application or subsequent employment does not create a contract of employment for any definite period of time. If employed by the Company, I understand that I will be hired at the will of the employer and my employment may be terminated at any time, with or without cause, and with or without motive. I further understand that no supervisor or manager of the Company has an authority to enter into an agreement for employment, written or verbal, or to make any agreement contrary to the foregoing except in writing and signed by the president of the Company and me.

I have read and understand the above. My signature below gives consent to these statements.

*Applicant Please Input Initials in Lieu of a Signature *