Save A Lot

Online Application Form

About You
Your Name:  
Your Address:  
Your City, State, Zip:  
Your Email Address:  
Your Phone:  
Date Available to Start:  
   

About the Position

Desired Position: 

Days and Hours your are available during the week:
Day Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

From:

To:
Willing to relocate? Yes No     Willing to travel? Yes No 
If you are under the age of 18, please state your birth

Were you referred by anyone at Save A Lot/Howard's IGA? 
If so, whom?
Education - High School
Name:  
Address:  
City, State, Zip:  
Degree:   Yes No
Education - College
Name:  
Address:  
City, State, Zip:  
Degree:   Yes No
Degree or Area of Study :  
Education - Graduate School
Name:  
Address:  
City, State, Zip:  
Degree:   Yes No
Degree or Area of Study :  
Other Education
Name:  
Address:  
City, State, Zip:  
Degree:   Yes No
Degree or Area of Study :  
U.S. Military
Branch of Service:  
Technical Specialization:  
Rank Attained:  
Special Skills
Typing Speed (wpm):  
Shorthand or Speedwriting (wpm):  
Other Clerical Skills:  
Computer Skills (type of skills):  
 
Legal Information

Do you have a legal right & necessary documents to work in the U.S.
Yes No (Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986.)

Have you ever been convicted of a crime other than a minor traffic violation? Yes No. If yes, please explain offense and final disposition:

Employment History
Dates Previous Employer Salary / Wages
From:  
    To:  

Job Title:

Supervisor:
Starting $:  
Final $:  
Duties:

Reason for leaving:
Dates Previous Employer Salary / Wages
From:  
    To:  

Job Title:

Supervisor:
Starting $:  
Final $:  
Duties:

Reason for leaving:
Dates Previous Employer Salary / Wages
From:  
    To:  

Job Title:

Supervisor:
Starting $:  
Final $:  
Duties:

Reason for leaving:

TO THE APPLICANT - 
READ THIS STATEMENT CAREFULLY BEFORE SUBMITTING:

I agree to submit to a physical examination if required, offer being accepted for employment and if employed I further agree to abide by all rules and regulations of the Company. I certify that the answers to the foregoing questions on this application are true and correct to the best of my knowledge and belief and hereby authorize the investigation of all statements contained in this application which if found to be false will be 
SUFFICIENT CAUSE FOR MY DISMISSAL.