A.J. Luke's Super Liquors Job Application
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Basic Information
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Full Name (Last, First, Middle) *
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Please provide us with your FULL LEGAL NAME, formatted LAST, FIRST, MIDDLE, i.e. if your name is Charles F. Smith, format your name as "Smith, Charles
F."
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Home Phone # *
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Cell Phone # *
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Social Security Number
If you are called by Luke's management, we will inquire about Social Security Number info. Luke's management WILL NEVER request that you provide your Social
Security Number online.
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Have You Ever Worked for an A.J. Luke's Super Liquors store in the Past? *
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Yes
No
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If you HAVE worked for an A.J. Luke's Super Liquors store in the past, for which location did you work?
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Briefly Describe the Time Period During Which You Worked for Luke's (i.e. did you work from March of 1999 - June of 2003, etc)
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Are You 21 or Older?
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Yes
No
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Are You 18 or Older?
If Not, Please Provide Your Date of Birth in the Next Spot *
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Yes
No
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If You're Under 18, Please Provide Your Date of Birth Here
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Are You Eligible for Employment in the United States of America? *
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Yes
No
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For the desired position, would a supervisory relationship or conflict of interest exist with any relative who is currently employed by
Luke's? *
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No
Yes (provide employee name in next box)
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Conflicting Employee's Name (if applicable)
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How Did You Learn of Our Employment Opportunities?
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Newspaper Ad
Employee
Referral
Walk-In
Other
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Position Desired
Please Describe the Position You Desire, Pay Expected, etc.
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Position Desired *
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Pay Expected
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Enter the pay you would expect. If you're looking for part-time work, enter the $ / hour that you would expect, or if you are looking for salary/full-time
employment, please enter your expected annual salary.
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Location Desired
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What Date Can You Begin Work? *
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MM
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DD
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YYYY
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Please enter the soonest date you would be able to begin working, or put today's date if you can begin immediately.
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How Many Hours Would You Be Able to Work Per Week? *
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3-15 hrs
16-25 hrs
26-30 hrs
40 hrs
full-time / salary
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Please Check All of the Times You Would Be Able to Work for the Following Days (hours are rough approximations of our shifts)
*
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Monday::: 8am -
12pm
Monday::: 12pm -
5 pm
Monday::: 5pm
- 10/11 pm
Tuesday:::8am -
12pm
Tuesday::: 12pm
- 5 pm
Tuesday:::
5pm - 10/11 pm
Wednesday:::
8am - 12pm
Wednesday:::
12pm - 5 pm
Wednesday::: 5pm - 10/11 pm
Thursday::: 8am
- 12pm
Thursday:::
12pm - 5 pm
Thursday:::
5pm - 10/11 pm
Friday::: 8am -
12pm
Friday::: 12pm -
5 pm
Friday::: 5pm
- 10/11 pm
Saturday::: 8am
- 12pm
Saturday:::
12pm - 5 pm
Saturday:::
5pm - 10/11 pm
Sunday::: Whole Shift (12 pm - 6-8pm)
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If Your Preferred Schedule is Not Available, Would You Be Open to an Alternative Schedule? *
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Yes
No
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Are You Able to lift up to fifty (50) pounds frequently in a shift? *
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Yes
No
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Special Skills / Training
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Please breifly describe any special skills / training, degrees, certifications, or abilities you feel might be an asset to Luke's
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Education
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Please Check the Box Which Most Accurately Describes Your Education Level
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High School
Graduate
College
Graduate
Some College
Some High
School
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High School
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High School Name
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Courses of Study
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# of Years Completed
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Did You Graduate?
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Yes
No
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College
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College / University Name
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Courses of Study
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# of Years Completed
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Did You Graduate?
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Yes
No
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Type of Degree
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Bachelor's
Master's
Doctorate
Did Not
Graduate
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Employment History
Please Provide Information for All Jobs Worked in the Past Five (5) Years.
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Job # 1
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Company Name
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Company Telephone #
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Company Address
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Direct Supervisor's Name / Title
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Start Date (roughly)
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MM
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DD
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YYYY
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End Date (roughly)
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MM
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DD
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YYYY
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Starting Pay (per hour)
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Ending Pay (per hour)
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Jobs & Responsibilities
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Reason For Leaving (be specific)
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May We Contact?
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Yes
No (explain)
If we may NOT contact your former employer, please explain why:
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Reason(s) for requesting that Luke's may NOT contact your former employer
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Job # 2
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Company Name
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Company Telephone #
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Company Address
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Direct Supervisor's Name / Title
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Start Date (roughly)
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MM
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DD
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YYYY
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End Date (roughly)
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MM
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DD
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YYYY
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Starting Pay (per hour)
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Ending Pay (per hour)
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Jobs & Responsibilities
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Reason For Leaving (be specific)
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May We Contact?
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Yes
No (explain)
If we may NOT contact your former employer, please explain why:
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Reason(s) for requesting that Luke's may NOT contact your former employer
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Job # 3
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Company Name
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Company Telephone #
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Company Address
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Direct Supervisor's Name / Title
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Start Date (roughly)
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MM
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DD
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YYYY
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End Date (roughly)
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MM
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DD
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YYYY
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Starting Pay (per hour)
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Ending Pay (per hour)
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Jobs & Responsibilities
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Reason For Leaving (be specific)
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May We Contact?
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Yes
No (explain)
If we may NOT contact your former employer, please explain why:
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Reason(s) for requesting that Luke's may NOT contact your former employer
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Personal References
Please list two (2) references (other than immediate family/household members, significant others, or close personal friends)
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Reference # 1
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Full Name
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Daytime Phone Number
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Evening Phone Number
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Explain Relationship:
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Reference # 2
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Full Name
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Daytime Phone Number
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Evening Phone Number
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Explain Relationship:
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Authorization
By clicking "Submit Form", you hereby declare that:
The information provided by me in this application is true, correct and complete to the best of my knowledge. I understand that if employed, any falsification, misstatement, or omission of
fact in connection with my application, whether on this document or not, may result in immediate termination of my employment.
I authorize you to verify any and all information listed above, including personal references, employment history, and educational history. I release all parties from all liability from any
result from furninshing the requested information to you.
I acknowledge that, at any time during my employment, I may be subject to incident-based substance abuse testing.
I acknowledge that if I become employed, I will be employed at will, which means that I will be free to terminate my employment ant any time for any reason, and A.J. Luke's Super Liquors is
free to terminate my employment at any time for any reason except as prohbited by law.
No employee of A.J. Luke's Super Liquors has the authority to make any contrary agreement.
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Attach a Resume
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If You Have a Resume You Would Like A.J. Luke's Super Liquors management to look at, please attach it here. Your resume must either be in PDF, DOC, DOCX, or TXT
format.
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Image Verification
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