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The document contains an application for the position of night crew from Jean Curtis. It includes her personal information, address, availability, education history from Westminster High School, and employment history including her current role at Valley Floor Covering Inc. She is seeking a salary between $20,000-$30,000 and is available to work 40 hours per week with any shift.

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Jeannie Curtis
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© © All Rights Reserved
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0% found this document useful (0 votes)
32 views5 pages

Encoded

The document contains an application for the position of night crew from Jean Curtis. It includes her personal information, address, availability, education history from Westminster High School, and employment history including her current role at Valley Floor Covering Inc. She is seeking a salary between $20,000-$30,000 and is available to work 40 hours per week with any shift.

Uploaded by

Jeannie Curtis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

RETL400218 - NIGHT CREW

Nov 29, 2021

Personal Information
Candidate Name: Curtis, Jean

Be sure to click the arrow at the bottom of the page to proceed to the next step.

Personal Information

First Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Jean
(Legal Name as it appears on your SSN Card)
Middle Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Marie
(Legal Name as it appears on your SSN Card)
Last Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Curtis
(Legal Name as it appears on your SSN Card)
Preferred First Name . Jeannie
.....................................................
Preferred Last Name . Curtis
.....................................................
Email Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . jeanniec274@gmail.com

Address 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1751 Pepper Drive


Address 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . El Cajon
Country . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . United States
State/Province ** California
(For US or Canada, State/Province is Required)
County **
For US, County is Required San Diego
If county is not displaying, please reselect the country and state dropdowns.
Zip/Postal Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92021
Primary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(619) 715-5680
(Please use format xxxxxxxxxx)
Secondary Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(619) 850-0314
(Please use format xxxxxxxxxx)

General Information

Are you legally able to work in the U.S.? Yes


If no, please describe work authorization status **
Salary Requirements?
$20,000 - $30,000
Please select salary range from drop down below.

Are you under the age of 18? . I am 18 or older


.....................................................

If under 18, please enter your age **

Availability

Your availability will impact the positions for which you are selected and the number of hours you are scheduled. However, the Company provides reasonable accommodations for those with disabilities and
those with sincerely held religious beliefs, so it is not necessary for you to exclude from your availability the time needed for religious observance or disability accommodations.
Date Available for Work . 11/29/2020
.....................................................
Total hours available per week . 40
.....................................................
What is  your availability? Anytime
For each day of the week, please include earliest start time and latest end time including AM and PM (ex. 1PM -- 6PM)
Monday ** 12AM-12AM
Tuesday ** 12AM-12AM
Wednesday ** 12AM-12AM
Thursday ** 12AM-12AM
Friday ** 12AM-12AM
Saturday ** 12AM-12AM
Sunday ** 12AM-12AM

Accommodations

You may request an accommodation during the application, interview and hiring process by contacting the Hiring Manager, Recruiter or the Human Resources Department for the Division or location where
you are applying or by calling the Employee Service Center at 1-888-255-2269. Requests for accommodation during employment may be made to the Store Director, Location Manager or Human Resources. If
you believe you have been wrongly denied an accommodation, you may contact Human Resources or Employee Relations for the Division or call the tollfree Ethics Hotline at 855-673-1084.
Education History
Candidate Name: Curtis, Jean
To add additional education, click the "Add Education" button below.
The "Remove Last Education" will delete all entries for the last education that you have entered.
 
Please enter your most recent education first.

Education History

Education 1
School/University
Westminster High School
Name **

Degree Level** HS Graduate or Equivalent

Degree Granted? ** Yes


Major . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date Attended From . 09/02/1980
.....................................................

Date Attended To** 06/18/1984

Achievements

Please list any other Certifications and Academic Achievements (e.g. vocational Certificate-Computer Skills for The Workplace Certificate-Excel Certificate-Computer Tech Certificate-Accounting
training, professional licenses, etc.) Fundamentals
Employment History
Candidate Name: Curtis, Jean

Employment History

Please provide information for four (4) employers or 10 years' employment history (whichever is shorter), including Military/Reserve Service and volunteer and/or part-time work experience.

 To add additional employers, click the "Add Employer" button below.
The "Remove Last Employer" will delete all entries for the last employer that you have entered.
Do you have prior employment with any employer?
If you indicate Yes, fields below marked with an asterisk ** will be required.

Yes
This would also include Military Service or Reserve Service or volunteer
experience.

 
Have you ever worked for Albertsons, Safeway, Vons, Randalls, Tom Thumb,
Carr's, Shaw's, Star Market, Acme, Jewel-Osco, Haggen, United,
No
GroceryWorks, Genuardi's, Dominick's or other Albertsons banner
companies?
Please start with your current or most recent employer including Military and/or Volunteer Organization.

Employer 1
Employer/Military/Volunteer** Valley Floor Covering Inc
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9945 Prospect Ave
Address 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Country** United States

State/Province ** California
(For US or Canada, State/Province is Required) 
City  ** Santee
Zip/Postal Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92071
Position/Title/Volunteer Activities** Accounts Payable

Supervisor's Name** Dennis Curtis


Supervisor's Phone (619) 850-0314
Is this your current employer? ** Current
Reason for leaving or considering leaving ** Closed business
Date From ** 01/02/2007
Date To **
11/10/2021
(required for Previous Employers)
Duties ** Processed all A/P invoices entering data into computer reconciling invoices paycheck processing misc. office duties
May we contact this employer? ** Yes

Additional Information

Have you ever been dismissed from a job or resigned from a job in lieu of
No
termination? **
If yes, please explain and include employer(s)' name(s) **

Employment Gaps

Please explain any periods of unemployment:


Tax Credit Screening
Albertsons Companies participates in the Work Opportunity Tax Credit Program. This program is designed to encourage the hiring and retention of individuals facing barriers to employment.
Albertsons Companies WOTC screening is administered by an independent tax consulting firm on their behalf.

The screening will NOT negatively impact consideration of your application for employment, and the information provided is used solely to determine your eligibility for the tax credit program.
All information provided is confidential.

Screening for WOTC typically takes between thirty seconds and two minutes to complete.

To take the screening, please click (the link or button) below. When you have completed your screening you will be provided a confirmation code. Please enter the confirmation code in the box
below to continue.

Click here to begin the screening


 
Confirmation Code . 39134
.....................................................
 
 
Screening Instructions

Acknowledgement

Candidate Name: Jean Curtis

Acknowledgement

Please read the important information below about your application.

1. I authorize the employers and references listed to provide the Company with information about my previous employment and any other information they may have (except information that
cannot be obtained as a matter of law).

2. I understand that employment is conditioned upon passing a post-offer, pre-employment drug screening test and background check. I also understand for certain positions it may be
necessary for me to provide proof that I am 18 or older and/or to pass a post-offer medical examination, if applicable. If I am under the age of 18, I understand that I will be required to provide
a work permit or other required work authorization form if required by state law.

3. I understand that any false statement or omission during the interview, on this application or made by me as part of the hiring/onboarding process may prevent me from receiving an offer of
employment, may result in the withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time the false statement or omission is
discovered.

4. I understand that on or before the first day of work, I must provide satisfactory documentation that establishes my identity and eligibility to work in the U.S.

5. I understand that if I am employed by the Company, my employment is at will and for no specific term unless otherwise provided by an applicable collective bargaining agreement or written
employment agreement executed by the CEO or his/her designee.

6. I understand the Company, in its sole discretion, may change its existing hiring practices and policies at any time with or without notice to me.

7. I understand that this application for employment will be active up to 90 days and after 90 days, it will be necessary for me to reapply.

By eSigning, I understand that I am certifying I have read, understand and agree to the information in the Release/Acknowledge and I agree that my electronic signature will have the same authority
and legal effect as my original signature.
Please let us know if you received assistance completing this application. Completed and Signed by Applicant
Legal First & Last Name: Jean Curtis
Your name as it appears above: Jean Curtis
Accepted
If you choose to Decline, your application will not be considered at this time. 
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nov 29, 2021 11:28 am

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