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Bridgeville Giant Eagle
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Welcome
Contact
Employment
Bridgeville Giant Eagle
Clearview Giant Eagle
Gibsonia Giant Eagle
Moraine Pointe Giant Eagle
Gibsonia Giant Eagle
5600 William Flynn Highway
400 Northtowne Square
Gibsonia, PA 15044
(724) 443-7400 (Main)
(724) 443-7979 (Pharmacy)
(724) 443-9790 (Main Fax)
(724) 443-0150 (Pharmacy Fax)
Store Hours
Sun-Sat: 7:00 AM – 9:00 PM
Gibsonia Giant Eagle Employment Application
Gibsonia Giant Eagle Employment Application
Today's Date
*
APPLICANT CONTACT INFORMATION
First Name
*
Middle Name
Last Name
*
Address
*
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Home Phone Number
*
Example: xxxxxxxxxx
Cell Phone Number
Example: xxxxxxxxxx
Email Address
Tax District
Emergency Contact Name
*
Emergency Contact Phone Number
*
Example: xxxxxxxxxx
Are you 18 years of age or older?
*
Yes
No
If 'No", please provide date of birth.
If you are under 18 years of age, do you have a work permit?
Yes
No
If "No", please provide the school name.
Have you or a relative ever worked for this employer?
*
Yes
No
If "Yes", please provide name and dates of employment.
AVAILABILITY
Position applying for?
Are you legally able to be employed in the United States?
*
Yes
No
If "No", please explain.
Do you have transportation to and from work?
Yes
No
If "No", please explain.
Employment Status Desired
*
Full-time Only
Part-time Only
Full-time or Part-time
How many hours can you work per week?
*
When are you available to start work?
*
Can you work nights?
*
Yes
No
Can you work weekends?
*
Yes
No
Are you available on Sundays?
*
Yes
No
Sunday Available Start Time
12
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10
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30
AM
PM
Sunday End Time
12
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4
5
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8
9
10
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AM
PM
Are you available on Mondays?
*
Yes
No
Monday Available Start Time
12
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4
5
6
7
8
9
10
11
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30
AM
PM
Monday End Time
12
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4
5
6
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8
9
10
11
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30
AM
PM
Are you available on Tuesdays?
*
Yes
No
Tuesday Available Start Time
12
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2
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4
5
6
7
8
9
10
11
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30
AM
PM
Tuesday End Time
12
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4
5
6
7
8
9
10
11
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30
AM
PM
Are you available on Wednesdays?
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Yes
No
Wednesday Available Start Time
12
1
2
3
4
5
6
7
8
9
10
11
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30
AM
PM
Wednesday End Time
12
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2
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4
5
6
7
8
9
10
11
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30
AM
PM
Are you available on Thursdays?
*
Yes
No
Thursday Available Start Time
12
1
2
3
4
5
6
7
8
9
10
11
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00
30
AM
PM
Thursday End Time
12
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2
3
4
5
6
7
8
9
10
11
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30
AM
PM
Are you available on Fridays?
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Yes
No
Friday Available Start Time
12
1
2
3
4
5
6
7
8
9
10
11
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00
30
AM
PM
Friday End Time
12
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2
3
4
5
6
7
8
9
10
11
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00
30
AM
PM
Are you available on Saturdays?
*
Yes
No
Saturday Available Start Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
30
AM
PM
Saturday End Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
30
AM
PM
What is the reason for any schedule restrictions?
Another Job
School Schedule
Personal
Other
Other
Please explain schedule restrictions.
HIGH SCHOOL EDUCATION
Name of High School
*
High School Address
*
High School City
*
High School State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
High School State
High School Zip Code
*
Number of High School Years Completed
*
High School Major and Degree
*
COLLEGE/BUSINEESS OR TRADE SCHOOL EDUCATION #1
Name of College/Business or Trade School #1
College/Business or Trade School #1 Address
College/Business or Trade School #1 City
College/Business or Trade School #1 State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
College/Business or Trade School #1 State
College/Business or Trade School #1 Zip Code
College/Business or Trade School #1 Years Completed
College/Business or Trade School #1 Major and Degree
COLLEGE/BUSINESS OR TRADE SCHOOL EDUCATION #2
Name of College/Business or Trade School #2
College/Business or Trade School #2 Address
College/Business or Trade School #2 City
College/Business or Trade School #2 State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
College/Business or Trade School #2 State
College/Business or Trade School #2 Zip Code
College/Business or Trade School #2 Years Completed
College/Business or Trade School #2 Major and Degree
Have you ever been convicted of a felony or a misdemeanor in the last seven (7) years, including any guilty, no contest, or similar pleas, or are you currently out on bail, the subject of a current warrant for arrest, or released on your own recognizance pending trial? (Exclude any records of convictions that have been sealed, expundged, or legally eradicated, and any misdemeanor conviction for which probation was completed and the case was dismissed.
*
Yes
No
Note: An applicant will not necessarily be disqualified for employment consideration solely because of a criminal conviction. The Company does consider the nature, date, and circumstance of the offense and whether it is relevant to the duties of the position being applied for.
If, "yes', please describe the nature of the crime(s), the date(s), and location(s) of the conviction(s), and the legal disposition(s) of the case(s) below.
REFERENCES
Please list two references other than relatives or previous employers.
REFERENCE #1
Reference #1 Name
Reference #1 Title
Reference #1 Company
Reference #1 Address
Reference #1 City
Reference #1 State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
Reference #1 State
Reference #1 Zip Code
Reference #1 Phone Number
Example: xxxxxxxxxx
REFERENCE #2
Reference #2 Name
Reference #2 Title
Reference #2 Company
Reference #2 Address
Reference #2 City
Reference #2 State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
Reference #2 State
Reference #2 Zip Code
Reference #2 Phone Number
Example: xxxxxxxxxx
MILITARY EXPERIENCE
Have you ever been in the Armed Forces?
*
Yes
No
Are you now a member of the National Guard?
*
Yes
No
Speciality
Date Entered
Date of Discharge
WORK EXPERIENCE #1
Please list your work experience for the past five years beginning with your most recent job held. If you were self employed, please provide the firm's name.
Employer #1 Name
Employer #1 Address
Employer #1 City
Employer #1 State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
Employer #1 State
Employer #1 Zip Code
Employer #1 Phone Number
Employer #1 Name of Last Supervisor
Employer #1 Employment Dates
Pay Rate
Hourly
Weekly
Bi-Weekly
Daily
Other
Other
Employer #1 Starting Pay
Employer #1 Final Pay
Employer #1 Your Last Job Title
Employer #1 Reason for Leaving (Be Specific)
Employer #1 Job Responsibilities/Skills Learned/Advancements/Promotions
WORK EXPERIENCE #2
Please list your work experience for the past five years beginning with your most recent job held. If you were self employed, please provide the firm's name.
Employer #2 Name
Employer #2 Address
Employer #2 City
Employer #2 State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
Employer #2 State
Employer #2 Zip Code
Employer #2 Phone Number
Employer #2 Name of Last Supervisor
Employer #2 Employment Dates
Pay Rate
Hourly
Weekly
Bi-Weekly
Daily
Other
Other
Employer #2 Starting Pay
Employer #2 Final Pay
Employer #2 Your Last Job Title
Employer #2 Reason for Leaving (Be Specific)
Employer #2 Job Responsibilities/Skills Learned/Advancements/Promotions
WORK EXPERIENCE #3
Please list your work experience for the past five years beginning with your most recent job held. If you were self employed, please provide the firm's name.
Employer #3 Name
Employer #3 Address
Employer #3 City
Employer #3 State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Option 52
Option 53
Option 54
Other
Employer #3 State
Employer #3 Zip Code
Employer #3 Phone Number
Employer #3 Name of Last Supervisor
Employer #3 Employment Dates
Pay Rate
Hourly
Weekly
Bi-Weekly
Daily
Other
Other
Employer #3 Starting Pay
Employer #3 Final Pay
Employer #3 Your Last Job Title
Employer #3 Reason for Leaving (Be Specific)
Employer #3 Job Responsibilities/Skills Learned/Advancements/Promotions
May we contact your present employer?
Yes
No
Did you complete this application yourself?
*
Yes
No
If not, who completed the application for you?
TO THE EMPLOYER: I hereby certify that all of the information contained in this application is true, correct, and complete, to the best of my knowledge. I understand and agree that any deliberate falsification or omission of relevant information contained in this application is grounds for immediate dismissal, in accordance with Company policy. I understand that regardless of the available hours I have listed on this application or the hours I may be scheduled to work, the company is not guaranteeing or promising to accommodate or continue to accommodate my request(s) and my hour and/or days I am scheduled to work and may be changed by the employer at any time. I understand that in connection with my application for employment an inquiry into my background may include but not limited to, an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I hereby authorize all previous employers or educational institutions to provide you with any and all information concerning my previous employment, educational, or personal history. I hereby release and hold harmless all parties from any liability or damage that may result from furnishing said information to you. I hereby authorize you to contact all previous employers or educational institutions for the purpose of verifying information supplied on this job application, or for the purpose of obtaining more specific information about my employment, educational, personal history or any other information the Company, at its discretion, deems relevant. I hereby release and hold harmless the Company from any liability or damage that may result from contacting said previous employers or education institutions. I hereby acknowledge that, if I become employed, I will be free to terminate my employment at any time for any reason, and that the Company retains the same rights. I understand that no Company representative has the authority to make any other contrary agreement in this regard. In exchange for the consideration of my job application by the Company, I agree that neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the owner of the Company. Both the undersigned and Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. I also understand that (1) the Company may have a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. The Company is an Equal Opportunity Employer, and does not discriminate for purposes of employment or promotion on the basis of race, color, religion, sex, national origin, age, or physical handicap where prohibited by law. It is our policy to comply fully with laws which prohibit illegal employment discrimination, and any information requested on this application will not be used for any purpose which is prohibited by law. THE APPLICATION IS CONSIDERED ACTIVE FOR 90 DAYS. FOR CONSIDERATION AFTER 90 DAYS, YOU MUST REAPPLY. IF HIRED YOU MUST FURNISH YOUR SOCIAL SECURITY CARD AND ONE (1) OF THE FOLLOWING ITEMS WITHIN 72 HOURS OF STARTING WORK: FEDERAL, STATE, OR LOCAL GOVERNMENT PHOTO I.D. CARD, A PHOTO DRIVER'S LICENSE, U.S. MILITARY PHOTO I.D. CARD, BIRTH CERTIFICATE, U.S. PASSPORT OR STAMPED INS FORM. IF YOU ARE A HIGH SCHOOL STUDENT, YOU MUST PROVIDE A WORK PERMIT UPON STARTING EMPLOYMENT.
*
I agree.
TO THE APPLICANT: Please read the above paragraph and check the check box before submitting the application to the Employer for consideration. Please address any questions you may have about anything contained in this application to the interviewer or manager.
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