10236 W. Vienna Rd.
P.O Box 68
Montrose, MI 48457
810-639-6285
Deli: 810-639-3354
Hours: Every Day 7 am - 10 pm

Riverside Market Logo

311 N. Oak St.
Durand, MI 48429
989-288-3382
Deli: 989-288-6351
Hours: Every Day 7 am - 10 pm

Employment Application

Personal Information

Date: Available:
Work Desired: Full Time Part Time Temporary
First Name: Last Name:
Business: Entity:
Street Address: Apt.-Unit:
City: State (2 letter Initial): Zip:
Phone (extension if necessary):

Education:

Schools - Colleges - Training:

School 1: #Years Grad? Diploma-Degree
School 2: #Years Grad? Diploma-Degree
School 3: #Years Grad? Diploma-Degree
School 4: #Years Grad? Diploma-Degree

Employment Experience:

Start with your most recent position. Include military service assignments
and volunteer activities. Exclude organization names that indicate race, color,
religion, sex, or national origin.

Employer 1

Employer: Job Title:
Street Address: Supervisor:
City, State, Zip: Phone and Ext.:
Describe duties, responsibilities, accomplishments:


Reason for leaving:

Employer 2

Employer: Job Title:
Street Address: Supervisor:
City, State, Zip: Phone and Ext.:
Describe duties, responsibilities, accomplishments:

Reason for leaving:

Employer 3

Employer: Job Title:
Street Address: Supervisor:
City, State, Zip: Phone and Ext.:
Describe duties, responsibilities, accomplishments:

Reason for leaving:

Employer 4

Employer: Job Title:
Street Address: Supervisor:
City, State, Zip: Phone and Ext.:
Describe duties, responsibilities, accomplishments:

Reason for leaving:

Personal - Business References:

Reference 1

Name: Company:
Street Address; Position:
City, State, Zip Phone and ext.:

Reference 2

Name: Company:
Street Address; Position:
City, State, Zip Phone and ext.:

Reference 3

Name: Company:
Street Address; Position:
City, State, Zip Phone and ext.:

Special Skills:

Describe any special skills or qualifications for this work:

I, CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Riverside Market to investigate any statement contained in the application, and obtain a credit report on me (and my company if this application is for reselling by a company) as necessary to determine my qualifications. I understand that this application is not and is not intended to be a contract or agreement. I understand any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand that I am required to abide by all rules, regulations, and policies of Riverside Markets. E-mail:

NOTE: You need to have an e-mail program set up to open when you click on "Apply". On a Mac, it is in Apple (the apple in the top left side of your browser's menu) - System Preferences and in Windows Internet Explorer, it is in Tools - Internet Preferences in the top pull-down menu. When you click on "Apply", your e-mail program is supposed to come up, and then you can send it from there. It is already formatted; all you have to do is send it. If you have any questions on how to do this, click here to contact the webmaster.

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This page was last updated: 3-2-2010.