APPLICATIONS
            RAYS SUPER FOODS
               APPLICATION FOR EMPLOYMENT
DATE:
NAME
SOCIAL SECURITY#
PRESENT ADDRESS
PRIOR ADDRESS      
PHONE NUMBER
ARE YOU 18 YEARS OLD OR OLDER?
ARE YOU NOW EMPLOYEED?
IF SO MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?
HAVE YOU EVER APPLIED TO THIS STORE BEFORE?
REFERRED BY
     EDUCATION
GRAMMAR SCHOOL
HIGH SCHOOL
COLLEGE
           GENERAL INFORMATION
SPECIAL SKILLS
ACTIVITIES: (CIVIC, ATHLETIC, ETC.)


FORMER EMPLOYEES
    PLACE OF EMPLOYMENT
 TIME EMPLOYED
REASON FOR LEAVING


REFERENCES WITH PHONE NUMBERS
  1.  _________________________________________________
    2.  _________________________________________________

IN CASE OF EMERGENCY WHO WOULD WE NOTIFY?

_______________________________________________________________
          NAME                                                            PHONE NUMBER

I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, AND RELEASE ALL PARTIES FROM LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU.

I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES OF SALARY, BE TERMINATED AT ANY TIME WITHOUT PRIOR NOTICE AND WITHOUT CAUSE.

DATE:_______________     SIGNATURE:_________________________________________