Last Name:
Middle Name:
First Name:
Email Address:
Current Address:
State: Zip:

Home Phone:

Do you have the legal right to work in the USA?   Yes    No
*Proper identification for employment eligibility will be required.
State Alcohol Beverage Control Boards require a minimum age to sell alcoholic beverages; check the age group that applies: Under 21    21 or older
Position applying for:    Date available:
Are you applying for: Full Time   Part Time       Expected Pay:
Are you restricted on the hours and days you can work? Yes    No
If Yes, explain:
Are you related to anyone employed by Hasty Mart? Yes    No
If Yes, list name(s), job title(s), and Hasty Mart location:
Do you have a reliable method of transportation to work as scheduled? Yes    No
Is there any reason you cannot regulary report to work? Yes    No
If Yes, explain:
Assisting customers, stocking shelves and maintaining a clean store and a neat property are some of the required job duties and require the ability to stand, bend, sit, climb, and lift up to 50lbs. Is there any reason why you would not be able to perform these duties?
Can you wear and maintain the required uniform or abide by the dress code while at work?
Yes    No