The Conscious Corner

Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone * ### - ### - ####
Mobile Phone ### - ### - ####
Email *
How did you hear about this job?
Are you entitled to work in the U.S.? *
Are you over 18 years old? *
Have you ever been convicted of a crime? *
If Yes, please explain
Which store are you applying to? *
Clarksville, MD Olney, MD Any
What position are you applying for? *
Full-time or Part-time? *
If part-time, how may hours per week?
Work Schedule

Enter the day you can start and then the days and times that you are available to work.
Date available to start * MM / DD / YYYY
Monday
7am-10am 10am-2pm 2pm-5pm 5pm-9pm
Tuesday
7am-10am 10am-2pm 2pm-5pm 5pm-9pm
Wednesday
7am-10am 10am-2pm 2pm-5pm 5pm-9pm
Thursday
7am-10am 10am-2pm 2pm-5pm 5pm-9pm
Friday
7am-10am 10am-2pm 2pm-5pm 5pm-9pm
Saturday
7am-10am 10am-2pm 2pm-5pm 5pm-9pm
Sunday
7am-10am 10am-2pm 2pm-5pm 5pm-9pm
Education Information
High School
Name of School
Number of years attended:
Did you graduate?
College, Post Graduate & Trade School
Name of School
Number of years attended:
Did you graduate?
Employment History

Start with your current or last employer and work backwards.
Current or Last Employer
Name Of Employer *
Supervisor’s Name
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * ### - ### - ####
Job Title *
Responsibilities *
Dates of employment *
Salary *
Reason for leaving *
Employer #2
Name Of Employer *
Supervisor’s Name
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * ### - ### - ####
Job Title *
Responsibilities *
Dates of employment *
Salary *
Reason for leaving *
Employer #3
Name Of Employer *
Supervisor’s Name
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone * ### - ### - ####
Job Title *
Responsibilities *
Dates of employment *
Salary *
Reason for leaving *
Almost Done.

Just a few more questions.
Name three of your strengths (in a work/school environment). *
Name three of your weaknesses (in a work/school environment). If you leave any blank we will be disappointed, and please do not use perfectionist as a weakness. *
Why do you want to work for Roots Market? *
How could you improve Roots Market? *
What is your greatest accomplishment? *
What makes you stand out from others? *
What things are you passionate about? *
Please tell us about any other trainings, education, skills, or achievements that you feel should be considered. *
Do you smoke?
How do you eat?

Vegan, Vegetarian, Meat, Raw, Gluten-Free, etc...
References

Please provide the names of two references who have not employed you and are not related to you.
Reference #1
Name & Relationship to you
Phone Number ### - ### - ####
Address
Reference #2
Name & Relationship to you

Please provide the names of two references who have not employed you and are not related to you.
Phone Number ### - ### - ####
Address
Resume

If you have a resume you can attach it here.
My answers are true and complete. I understand that if I am hired, any false or incomplete statements on this application will be grounds for immediate termination. *
I AGREE
Do Not Fill This Out

The Conscious Corner

Work Schedule

Education Information

High School

College, Post Graduate & Trade School

Employment History

Current or Last Employer

Employer #2

Employer #3

Almost Done.

References

Reference #1

Reference #2