Trader Joes Job Application Form

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Unique foods and beverage at prices everyone can afford
AP
Date recʼd
At store#
Recʼd by
PERSONAL INFORMATION
Please complete all information. Use ink and print clearly, so we can get to know you!
Current Address City /State/Zip
Telephone # ( ) Other # ( ) Email
Prior Address
Other Names (so that we may verify your employment history)
EMPLOYMENT HISTORY
EDUCATION & SKILLS
Federal law requires you to produce within 3 business days of hire specific documents establishing your identity and authorization for employment in the US.
YES NO
YES NO YES NO
Please account for the last 5 years, starting with the most recent. Complete even if you are attaching a resume.
May we contact your current employer? YES NO
YES NO
High School: Name City State
Circle highest grade completed: 9 10 11 12 GED Are you still attending?
College/Technical or Trade school/or other education/training (List all whether or not degree was obtained)
Name Address Dates Major Minor Degree completed
Describe any abilities, experience, or aptitude that you believe would be helpful in your job
Are you under 18 years of age? Have you ever worked for Trader Joeʼs before?
Are you legally authorized to work in the US?
EEID
(If Hired)
M.I.
COMPANY NAME EMPLOYMENT DATES From To
Address Phone# Ending Salary
Title Supervisorʼs Name
What kind of work did you do? Why did you leave?
COMPANY NAME EMPLOYMENT DATES From To
Address Phone# Ending Salary
Title Supervisorʼs Name
What kind of work did you do? Why did you leave?
COMPANY NAME EMPLOYMENT DATES From To
Address Phone# Ending Salary
Title Supervisorʼs Name
What kind of work did you do? Why did you leave?
Last Name
First Name JOB INTEREST
How many hours per week would you like to work?
How did you hear about Trader Joeʼs?
AN EQUAL OPPORTUNITY EMPLOYER: We are an equal opportunity employer and do not discriminate based upon race, color, religion, sex, sexual orientation, pregnancy, marital
status, national origin, citizenship, veteran status, ancestry, age (over 40), physical or mental disability, medical condition (cancer-related), gender identity or expression, genetic information
including sickle cell or hemoglobin C trait, or any other consideration made unlawful by applicable federal, state, or local law.
Your application will be considered active for 14 days. For consideration after that, you must submit a new application.
YOUR AVAILABILITY
How soon could you start working for Trader Joeʼs?
Our shifts start as early as 5:00 a.m. and end as late as 12:00 midnight. What is your availability?
EARLIEST TIME
LATEST TIME
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
PLEASE READ CAREFULLY BEFORE SIGNING:
I read and understand the Position Description and can perform the essential functions with or without a reasonable accommodation.
I authorize Trader Joeʼs to make any necessary investigations into my personal history and authorize any former employer, educational institution,
law enforcement agency, government agency, financial institution, or other person having personal knowledge about me to supply Trader Joeʼs or
its agents with any information concerning my background. I release from liability and hold harmless any individual or agency supplying this
information to Trader Joeʼs or its agents. I have received a Notice of Disclosure Under the Fair Credit Reporting Act. I understand that before any
adverse action is taken based on information obtained in the report(s), Trader Joeʼs will provide me with a copy of the report(s) and a description
in writing of my rights under the Fair Credit Reporting Act. I answered every question on this application completely, truthfully and correctly. I
understand that if I am hired and any of the information I provided is found to be untruthful, misstated, or purposely omitted, I could lose my job.
I understand bonding is a condition of hire.
I understand that this application is not an offer, promise, or contract of employment, either expressed or implied. My employment would be “at
will” and could be terminated by either Trader Joeʼs or me at any time, with or without notice or cause.
APPLICANT’S SIGNATURE (Void unless signed and dated) DATE
TERMS OF HIRE
SECURITY
MARYLAND APPLICANTS ONLY: I acknowledge that I have been advised that UNDER MD LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A
CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE
DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING
$100. MASSACHUSETTS APPLICANTS ONLY: I acknowledge that I have been advised that it is unlawful in Massachusetts to require or administer a lie
detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
APPLICANT’S SIGNATURE (Void unless signed and dated) DATE
YES NO No. of Times
HAVE YOU EVER BEEN CONVICTED OF (OR PLEADED GUILTY OR NOLO CONTENDERE TO) A CRIME? (Exclude minor traffic violations, sealed or
juvenile convictions, expunged or statutorily eradicated records, and misdemeanor convictions for which probation has been successfully completed or
otherwise discharged and the case has been judicially dismissed pursuant to California Penal Code § 1203.4. Also exclude marijuana-related convictions
occurring 2 or more years ago for violations of California Health & Safety Code § 11357(b) or (c), or of Sections 11360(b), 11364, 11365, or 11550 as
they related to marijuana prior to January 1, 1976.)
DID THE CONVICTION(S) (OR GUILTY OR NOLO CONTENDERE PLEA) RESULT IN IMPRISONMENT?
EXPLAIN EACH CONVICTION (AND GUILTY OR NOLO CONTENDERE PLEA) FULLY. (A conviction or guilty or nolo contendere plea will not necessarily
disqualify an applicant, but it may affect your suitability for some positions.)
YES NO No. of Times
California Applicants: Exclude convictions for marijuana-related offenses more than 2 years old or for minor traffic violations; juvenile convictions;
misdemeanor convictions for which probation was completed and the case was dismissed, or any information concerning a referral to, and participation
in, any pre-trial or post-trial diversion program. Connecticut Applicants: Do not disclose the existence of any arrest, criminal charge or conviction in which
the records have been erased (such as records pertaining to a finding of delinquency, or that a child was a member of a family with service needs, an
adjudication as a youthful offender, a criminal charge that has been dismissed or nulled, a criminal charge for which you have been found not guilty, or
a criminal charge for which you received an absolute pardon.). If your records have been erased you are deemed to have never been arrested with
respect to the erased proceedings and may so swear under oath. District of Columbia Applicants: Respond only for convictions in the last ten years. Georgia
Applicants: Exclude discharges under the First Offender law without a court adjudication of guilt. Massachusetts Applicants: Do not complete this section.
New York Applicants: If you are refused employment and have been previously convicted of one or more criminal offenses, you may request and receive
from Trader Joeʼs, within 30 days of request, a written statement of reasons employment was denied. Oregon Applicants: You will be notified accordingly
if Trader Joeʼs requests criminal offender information from the Dept. of State Police. Pennsylvania Applicants: Do not complete this section. Washington
Applicants: Respond only for convictions in the last 10 years.TRADER JOE’S
Position Description
Crew
At Trader Joe’s…unyielding integrity is required of us all. The Crew plays a pivotal role in creating a WOW!
customer experience, and they demonstrate their commitment to our Values Guide through their love for the
customer.
The most important role for the Crew is to deliver a great customer experience. The Crew creates a fun, warm
and friendly shopping experience throughout the store. They share their product knowledge and enthusiasm with
customers by answering questions, offering suggestions, and walking customers to products. The Crew makes
sure our customers know they are welcome and cared for.
Responsibilities:
Engages customers by:
 Greeting them, making eye contact and saying hello.
 Answering questions and helping customers find items.
 Offering suggestions for meals and entertaining.
 Telling the story behind our products with signs and displays that WOW!
 Operating the cash register efficiently, being respectful of our customer’s time.
 Bagging groceries with care and enthusiasm.
 Helping customers out to their cars when needed.
 Promptly getting back to customers who have questions that need follow up.
Prepares the store for customers by:
 Receiving, unloading and verifying deliveries.
 Stocking shelves, regularly rotating product and recording spoils and returns.
 Building eye catching, informative merchandise displays.
 Keeping the store colorful and signed – don’t let a story go untold!
 Exercising good hygiene and proper food handling procedures.
 Keeping the demo area fresh and exciting – a destination for customers to taste new products.
 Making the store shine – cleaning floors, bathrooms, break rooms.
 Collecting shopping carts and performing appropriate parking lot and store maintenance and upkeep.
Works as part of a team by:
 Being friendly, courteous and respectful of fellow crew members.
 Working with a sense of urgency within designated time frames.
 Seeking out new assignments and responsibilities.
 Arriving to work on time and ready to work at the start of their shift.
 Understands the importance of safety while performing all duties.
All tasks are important and build upon our commitment to welcome and Wow! our customers. It is important that
each crew member contributes to a great customer experience by participating in all aspects of the job.
The Crew work standing and walking for extended periods of up to three hours at a time. They use repetitive
hand movements, and frequently lift weights up to 25 pounds. The Crew may occasionally lift weights from 10-
50 pounds, to heights of 10 to 72 inches. They may also maneuver a 2-wheeled hand truck loaded with products
weighing up to 200 pounds. Portions of the shift may be performed in temperatures around or below freezing.
There may be abrupt temperature changes as the Crew moves from one environment to another.
Education: High school graduate preferred.
We deem regular and punctual attendance an essential part of the job. Rev. 8/2011Para informacion en espanol, visite www.ftc.gov/credit o escribe a la FTC Consumer Response Center, Room 130 -A 600 Pennsylvania
Ave. N.W., Washington, D. C. 20580.
A Summary of Your Rights Under the Fair Credit Reporting Act
The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies.
There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about
check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information,
including information about additional rights, go to www.ftc.gov/credit or write to: Consumer Response Center, Room 130-A, Federal Trade
Commission, 600 Pennsylvania Ave. N.W., Washington, D.C. 20580.
• You must be told if information in your file has been used
against you. Anyone who uses a credit report or another type of
consumer report to deny your application for credit, insurance, or
employment – or to take another adverse action against you – must
tell you, and must give you the name, address, and phone number
of the agency that provided the information.
• You have the right to know what is in your file. You may request
and obtain all the information about you in the files of a consumer
reporting agency (your “file disclosure”). You will be required to
provide proper identification, which may include your Social Security
number. In many cases, the disclosure will be free. You are entitled
to a free file disclosure if:
• a person has taken adverse action against you because of
information in your credit report;
• you are the victim of identify theft and place a fraud alert in your
file;
• your file contains inaccurate information as a result of fraud;
• you are on public assistance;
• you are unemployed but expect to apply for employment within
60 days.
In addition, by September 2005 all consumers will be entitled to
one free disclosure every 12 months upon request from each
nationwide credit bureau and from nationwide specialty
consumer reporting agencies. See www.ftc.gov/credit for
additional information.
• You have the right to ask for a credit score. Credit scores are
numerical summaries of your credit-worthiness based on
information from credit bureaus. You may request a credit score
from consumer reporting agencies that create scores or distribute
scores used in residential real property loans, but you will have to
pay for it. In some mortgage transactions, you will receive credit
score information for free from the mortgage lender.
• You have the right to dispute incomplete or inaccurate
information. If you identify information in your file that is incomplete
or inaccurate, and report it to the consumer reporting agency, the
agency must investigate unless your dispute is frivolous. See
www.ftc.gov/credit for an explanation of dispute procedures.
• Consumer reporting agencies must correct or delete
inaccurate, incomplete, or unverifiable information. Inaccurate,
incomplete or unverifiable information must be removed or
corrected, usually within 30 days. However, a consumer reporting
agency may continue to report information it has verified as
accurate.
• Consumer reporting agencies may not report outdated
negative information. In most cases, a consumer reporting agency
may not report negative information that is more than seven years
old, or bankruptcies that are more than 10 years old.
• Access to your file is limited. A consumer reporting agency may
provide information about you only to people with a valid need —
usually to consider an application with a creditor, insurer, employer,
landlord, or other business. The FCRA specifies those with a valid
need for access.
• You must give your consent for reports to be provided to
employers. A consumer reporting agency may not give out
information about you to your employer, or a potential employer,
without your written consent given to the employer. Written consent
generally is not required in the trucking industry. For more
information, go to www.ftc.gov/credit
• You may limit “prescreened” offers of credit and insurance you
get based on information in your credit report. Unsolicited
“prescreened” offers for credit and insurance must include a toll-free
phone number you can call if you choose to remove your name and
address from the lists these offers are based on. You may opt-out
with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-
8688).
• You may seek damages from violators. If a consumer reporting
agency, or, in some cases, a user of consumer reports or a furnisher
of information to a consumer reporting agency violates the FCRA,
you may be able to sue in state or federal court.
• Identity theft victims and active duty military personnel have
additional rights. For more information, visit www.ftc.gov/credit
States may enforce the FCRA, and many states have their own
consumer reporting laws. In some cases, you may have more rights
under state law. For more information, contact your state or local
consumer protection agency or your state Attorney General.
Federal enforcers are:
TYPE OF BUSINESS: CONTACT:
Consumer reporting agencies, creditors and
others not listed below
Federal Trade Commission:
Consumer Response Center – FCRA
Washington, DC 20580 (877-382-4357)
National banks, federal branches/agencies of
foreign banks (word “National” or initials “N.A.”
appear in or after bank’s name)
Office of the Comptroller of the Currency
Compliance Management, Mail Stop 6-6
Washington, DC 20219 (800-613-6743)
Federal Reserve System member banks
(except national banks, and federal
branches/agencies of foreign banks)
Federal Reserve Board
Division of Consumer & Community
Affairs
Washington, DC 20551 (202-452-3693)
Savings associations and federally chartered
savings banks (word “Federal” or initials
“F.S.B.” appear in federal institution’s name)
Office of Thrift Supervision
Consumer Complaints
Washington, DC 20552 (800-842-6929)
Federal credit unions (words “Federal Credit
Union” appear in institution’s name)
National Credit Union Administration
1775 Duke Street
Alexandria, VA 22314 (703-519-4600)
State-chartered banks that are not members
of the Federal Reserve System
Federal Deposit Insurance Corporation
Consumer Response Center,
2345 Grand Avenue, Suite 100
Kansas City, Missouri 64108-2638
(877-275-3342)
Air, surface, or rail common carriers regulated
by former Civil Aeronautics Board or Interstate
Commerce Commission
Department of Transportation , Office of
Financial Management
Washington, DC 20590 (202-366-1306)
Activities subject to the Packers and
Stockyards Act, 1921
Department of Agriculture
Office of Deputy Administrator – GIPSA
Washington, DC 20250 (202-720-7051) TRADER JOE’S
EQUAL OPPORTUNITY INFORMATION
TRADER JOE’S is an equal opportunity employer and does not discriminate based upon
race, color, religion, sex, sexual orientation, pregnancy, marital status, national origin,
citizenship, veteran status, ancestry, age (over 40), physical or mental disability, medical
condition (cancer-related), gender identity or expression, genetic information including
sickle cell or hemoglobin C trait or any other consideration made unlawful by applicable
federal, state, or local law. You are not obligated to complete this form, but your
assistance would be appreciated.
The information requested in this form will be used solely to comply with state and
federal legal requirements and will be kept strictly confidential. This form is not part of
your Application for employment and none of the information disclosed in this form will
be considered in any employment-related decision (including hiring).
Name: _________________________________________ Date: ___________
Gender (check one):
Male _____ Female _____
Ethnicity/Race (check one):
____ Hispanic or Latino
____ White
____ Black or African American
____ Native Hawaiian or Pacific Islander
____ Asian
____ American Indian or Alaska Native
____ Two or more races