APPLICATION FOR EMPLOYMENT
APPLICATION FOR EMPLOYMENT
ALDI Inc. is an equal opportunity employer and does not discriminate against any indiAvidPuPalLinICanAyTpIhOasNe oFf OemRplEoyMmPenLtOinYacMcoErdNanTce with
the requirements of local, state and federal law. ALDI Inc. also provides reasonable accommodations to qualified individuals with disabilities
in accordance with the Americans with Disabilities Act and applicable state and local law. Please advise ALDI if you require an accommodation
in the application process.
ALDI Inc. is an equal opportunity employer and does not discriminate againPsEt aRnSyOinNdAivLidual in any phase of employment in accordance with the requirements of
local, state and federal law.
Please print all inforPmEaRtSioOnNeAxLcept your signature.
Date: _________________________
Please print all information except your signature.
Date: ______________________________________
Name_________________________________________________________________________________________ Telephone No.: ___________________________________
Name_____L_A_S__T_________________________F_I_R_S_T________________________M_._I_._______________________________ Telephone No.:____________________________________________
LAST
FIRST
M.I.
Present Address _________________________________________________________________________________________________________________________________
Present Address _______N__O_._____________S_T_R__E_E_T_________________________C__IT__Y______________________________________S_T_A__T_E__________________Z_I_P________________________
NO.
STREET
CITY
STATE
ZIP
Previous Address ________________________________________________________________________________________________________________________________
Previous Address ______N__O_._____________S_T_R__E_E_T_________________________C__IT__Y______________________________________S_T_A__T_E__________________Z_I_P________________________
NO.
STREET
CITY
STATE
ZIP
PPoossititioionnss aapppplliieeddfofor r_______________________________________________________________
Indicate hours and days of availability. (UnavailaI(bnUindliaitcvyaatisleahbhoioluituyldrsshbaoenulddlimdbaeiytliesmdoitfetadovtraoeirlaeaabssoiolinntyss.ooththeretrhathnarenligrieoluigs oiobsuesrvoabncseesravnadnpcreacstiacensdorpmrialitcatriyces or militarytratrinaiinngi.n) g.)
Monday Mond_a_y_______________________________________
RRaateteooffppaayy eexxppeecctetedd$$__________________________________p__e_r__h_r_.________perThur.esday
Tuesday
__________________
Wedn_e_s_d_a_y____________________________________
FFrirdidaayy Saturday SSautunrddaayy
_________________________________________ __________________ _________________________________________
WednesdaThyurs_d_a_y______________________________________ SNuondpareyference _________________________________________
Thursday _______________________
No preference _______________________
Ifyourapplicationisconsideredfavorably,onwhatdatewillyoubeavailableforwork? _______________________________ How were you referred to ALDI for employment?
IfWyeorueryaopupplriecvaitoiousnlyisecmopnlosyideedrbeydufsa?v_o__r_a_b__ly_,_o__n__w__h__a_t_d__a_t_eIfwyeilsl,ywohuebn?e_____________________________ HoAwdwveertrieseymoeunrteferred to AFLrDieInfdor employment?
available for work? _____________________________________________________________________________ If you are hired, will you have reliable transportation to ALDI's place of work? ___________________________ o CAudrvreenrttiEsmempleoynete
Other o Friend
Were you previously employed by us? ________________ If yes, when? _____________________________
IfAyroeuyoaureauhtihreodri,zewdiltloywouorhkainvtehreeUlinaibteled Strtaatnessp? o__r_ta__t_io__n__t_o__A_L_D__I_'s__p_l_a_c_e__o__f work? ___________________ o Current Employee
(You will be required upon employment to submit verification of your legal right to work in the United States.)
o Other
Are you legally authorized to work in the United States? _________________________________________
(You will be required upon employment to submit verification of your legal right to work in the United States.) Have you ever been discharged or have you resigned from a job because your employer indicated that it believed you were involved in an incident(s) relating to
Hvaivoeleynocue,etvhererabteseonf vdioislechnacerg, peodsosershsaiovneoyfowueraepsoignnse, sdufsrpoemctaedjotbhebfet,craeupseeayteoduhr aermaspslmoyeenrt ionfdeimcaptleodyethesa,tciut bsteolmieevresdoyr oveunwdeores,ilnevwodlvbeedhianviworo, rpkopslsaecsesiionnciodfent(s) realalctoinhgoltoorvililoelgeanlcder,utghsr,eoartbseoinf vgioulnednecret,hpeoinssfleusesniocne ooffawlceoahpool onrs,ilsleugsapledcrtuegdutshaegfet,aret iptsewatoerdkphlarcaes?sment of employees, customers or veNnodors, lewd behavior,
poIfsssoe,spslieoanseofeaxplcloaihno_l_o__r_i_ll_e_g__a_l_d_r_u__g_s_,_o__r_b_e__in__g__u_n__d_e_r__t_h_e__i_n_f_lu__e_n_c__e_o__f_a_l_c_o_h__o_l_o__r_i_ll_e_g__a_l_d_r_u__g__u_s_a_g__e__a_t_i_t_s_w__o_r_k__p_l_a_c_e_?_______o___Y_e_s_____o___N__o____________________
If_s_o__, _p_l_e_a__s_e__e_x_p__la__in_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ UUsesetthhee ssppaacceebbeelolowwtotsousmummamrizaeraizneyaandydiatiodndaitlieoxnpaelrieexnpceesrioernsckeillss othrastkhilelslptqhuaatlihfyeylpouqfuoar ltihfye pyoosuitifoonr ftohrewphoicshityioonu aforer awphpliycihngy.oYuouarmeaaypepxclyluindge.anYyou may eaxcctliuvditieesatnhyatarcetfliveicttiepsertshoantarlecfhleacratcpteerrissoticnsaplrcohteacrtaecdtebryislatiwcs(ep.gro.,treeclitgeidonb, yralcaew, d(iesa.gb.i,lirtye,leigtcio.)n, race, disability, etc.) ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
EDUCATION
HIGH SCHOOL
NAME OF SCHOOL AND CITY
GRADUATED YES NO
YEARS COMPLETED
MAJOR
GRADE POINT AVERAGE
COLLEGE
GED OR OTHER
HOBBIES; INTERESTS
ADDRESS ADDRESS CITY & STATE CITY & STATE
*Disclosure of salary history in any of thLLeIIsSSeTTjYYurOOisUUdRRictLLioAAnSSsTTcFFaOOnUUbRReWWmOOaRRdeKK oEEnXXPPaEEEEMMkRRnIIPPoEEwLLNNiOOCCnEEgYYSSMMaBBnEEdEENNGGvIIoTTNNluNNnIItNNaGGryWWbIIaTTsHHis:YYPOOhUUilRRadMMeOOlpSShTTiaRR, EEMCCaEEsNNsaTTchusetts, Delaware, and New York City.
*Disclosure of salary history in any of these jurisdictions can be made on a knowing and voluntary basis: Philadelphia, Massachusetts, Delaware, and California.
NAME OF EMPLOYER NAME OF EMPLOYER
EMPLOYMENT DATES
FROM (MM/EYMYP) LOYMENT DATES TO (MM/YY)
FROM (MM/YY)
TO (MM/YY)
*RATE OF PAY *RATE OF PAY
*RATE OF PAY *RATE OF PAY
DESCRIBE DUTIES PERFORMED DESCRIBE DUTIES PERFORMED
REASON FOR LEAVING REASON FOR LEAVING
Discharge Discharge
Layoff Layoff
Resignation Resignation
Explain:_________ Explain:_________
PHONE NUMBER PHONE NUMBER TYPE OF BUSINESS TYPE OF BUSINESS
POSITION POSITION
POSITION POSITION
NAME OF SUPERVISOR NAME OF SUPERVISOR
NAME OF EMPLOYER NAME OF EMPLOYER
ADDRESS ADDRESS CITY & STATE CITY & STATE PHONE NUMBER PHONE NUMBER TYPE OF BUSINESS TYPE OF BUSINESS NAME OF SUPERVISOR NAME OF SUPERVISOR
EMPLOYMENT DATES
FROM (MM/EYMYP) LOYMENT DATES TO (MM/YY)
FROM (MM/YY)
TO (MM/YY)
*RATE OF PAY *RATE OF PAY
*RATE OF PAY *RATE OF PAY
POSITION POSITION
POSITION POSITION
DESCRIBE DUTIES PERFORMED DESCRIBE DUTIES PERFORMED
REASON FOR LEAVING REASON FOR LEAVING
Discharge Discharge
Layoff Layoff
Resignation Resignation
Explain:_________ Explain:_________
NAME OF EMPLOYER NAME OF EMPLOYER
ADDRESS ADDRESS CITY & STATE CITY & STATE PHONE NUMBER PHONE NUMBER TYPE OF BUSINESS TYPE OF BUSINESS NAME OF SUPERVISOR NAME OF SUPERVISOR
EMPLOYMENT DATES
FROM (MM/EYMYP) LOYMENT DATES TO (MM/YY)
FROM (MM/YY)
TO (MM/YY)
*RATE OF PAY *RATE OF PAY
*RATE OF PAY *RATE OF PAY
POSITION POSITION
POSITION POSITION
DESCRIBE DUTIES PERFORMED DESCRIBE DUTIES PERFORMED
REASON FOR LEAVING REASON FOR LEAVING
Discharge Discharge
Layoff Layoff
Resignation Resignation
Explain:_________ Explain:_________
NAME OF EMPLOYER NAME OF EMPLOYER
ADDRESS ADDRESS CITY & STATE CITY & STATE PHONE NUMBER PHONE NUMBER TYPE OF BUSINESS TYPE OF BUSINESS
EMPLOYMENT DATES
FROM (MM/EYMYP) LOYMENT DATES TO (MM/YY)
FROM (MM/YY)
TO (MM/YY)
*RATE OF PAY *RATE OF PAY
*RATE OF PAY *RATE OF PAY
POSITION POSITION
POSITION POSITION
DESCRIBE DUTIES PERFORMED DESCRIBE DUTIES PERFORMED
REASON FOR LEAVING REASON FOR LEAVING
Discharge Discharge
Layoff Layoff
Resignation Resignation
Explain:_________ Explain:_________
NAME OF SUPERVISOR NAME OF SUPERVISOR
The information contained in this application is true and complete to the best of my knowledge and belief. I understand that any false or inaccurate information or misrepresentation of fact or omission of iTnhfeorimnfaotrimonatrieoqnuceosntetadi,naesdsitnattehdisoarpipmlipclaietido,ngiisvternueinamndy caopmplpiclaettieotno, itnhteebrveiestwo(fsm), oyrkannoywolethdegreeamnpdlobyemlieefn. tI fuonrmde,rmstaaynbdethsautffaicnieynfat lrseeaosor ninnacoctutorahteireinmfoermanadtiomnaoyrbmeisrereapsorensefonrtdaitsiomnisosfafla. cItuonrdoemrsistasinodntohfat I will be rinefqourmireadtitoonpraesqsuaesptreed-,eamspstloaytemdeonrtidmrpulgiesdc,regeivne,nanindmifyhairpepdl,icI awtiiollnb,einstuebrvjeiectwt(os)A,LoDrIa'sndyruogthaenrdemalpcolohyoml teensttifnogrmp,omlicayydbuerisnugffmicyieenmt rpelaosyomnennott. to hire me and may be reason for dismissal. I understand that I will be rIeuqnudierersdtatondpaasnsdaapgrree-eetmhaptloayllminefnotrmdrautgiosncfruerennis, haendd iinf hthiriesda,pIpwliicllabtieonsumbajeycbt teovAeLriDfiIe'sddbruygALaDnIdInaclc. oohr iotsl taeusttihnogripzeodlicryepdruersinegntmatyiveem. Ipwloayimveeannt.y right I may have to notice from any individuals and organizations nI uanmdeedrsotrarnedfearnreddatgoreinetthhiastaaplpl ilnicfaotrimonatpiorinorfutorntihseheredleinastheiosfaapnpyliecamtipolnoymmaeynbteovreerdifuiecdatbioynAiLnDfoI rInmca. toirointstoauAtLhDoIrIinzce.dIrheeprreebseynatuatthivoer.izIewaallivinedaivniydruigalhstaInmdaoyrhgaavneiztaotinoontsicneafmroemd oarnryeifnedrriveiddutoailsnathnids oarpgpalinciaztaiotinontos gniavme eAdLDoIrInrecf.earlrleindftoorminatthioisnarpeplalitcivaetiotonspurciohrvteortihficearteiolenaasendofhaenreybeymrpelloeaymseesnutcohriendduivciadtuioanls,inofrogramnaiztaiotniotnosAaLnDdI IAnLcD. IIInhce.refrboymaaunthyoarnizdeaallllliinabdiilvitidyufoarlsananydcloarimgaonrizdaatmionags enaremseudltionrgrethfeerrreefdrotmo .in this application to IguivnedAeLrDstIaInndc.tahllaitn, fifohrmireadti,oInwrielllabteivreeqtousiruecdhtvoeprirfoicvaidtieondoacnudmheenretabtyiorneloefabseotshumchyiniddeinvitdituyaalns,doergmapnliozyamtioennstaenlidgiAbLilDitIyIninc.thfreomUnaitneydaSntadtealsl ilniaabcilcitoyrdfoarnacneywciltahimthoerIdmammiaggraetiroensuRlteifnogrmthaenredfrCoomn.trol Act of 1986. II uunnddeerrssttaanndd tthhaatt,, iiff hhiirreedd,, Imwyilel mbeprloeqymuierendt wtoilpl broevsiduebjdeoctcutomveanritoautisognuoifdbeolitnhems, yruidleesnatnitdy arengduelamtipolnosymofeAnLtDeIlIingcib. ialistystiantethdeinUnthiteedemStpaltoeyseien haaccnodrbdoaonkce, awniythpothliecyImanmdigprraotcioenduRreefomrmanaunadl oCroontthroerl Acoctmomf 1u9n8ic6a. tions to eI umnpdloeyrseteasn.dI tfhuartth, iefrhuirnedde, rmstyaenmd pthloaytmALeDnItInwci.l'lsbpeosliucbiejes catntdo pvaroricoeudsugruesidaerleinseusb, jreucltetsoamndodreifgicualtaiotinonwsitohfoAuLtDnI Iontcic.ea.s stated in the employee handbook, any policy and procedure manual or other communications to employees. I further understand that ALDI Inc.'s policies and procedures are subject to modification without notice. Rhode Island applicants please note: Pursuant to Rhode Island Statute ?28-29-6.2, Hub states that it is subject to the worker's compensation provisions of Rhode Island Law. RMhaorydleanIsdlaanpdpalipcapnlitcsapnltesapsleeansoeten:oUtne:dPeurrMsuaraynlat ntodRlahwod, aenIselamnpdloSytaetrumtea?y2n8o-t2r9e-q6u.2ir,eHourbdsetmataens dth, aatsiat icsosnudbijteioctntooftehme pwloorykmeer'ns tc,opmropsepnescatitvioenepmrpovloisyimonesnot,foRrhcoodnetiInsulaenddeLmawpl.oyment, that an individual submit to or tMaakreyalalineddaeptepcltiocar nortssipmleilaasretensot.tAen: UenmdpelroMyearrywlahnodviloalwat,easntehmisplalowyeisrgmuailytynooftaremqiusdireemoredanemoraanndd, asusbajecoctntdoitaiofninoefneomt pexlocyemedeinntg, p$r1o0s0p.ective employment, or continued employment, that an individual submit to or tMaaksesaacliheudseettetcstoarpoprliscimaniltasr,tpelseta. Asen nemotpel:o"yIet riswuhnolavwiofulaltiensMthaissslaacwhuissgeuttislttyoorfeaqmuiirsedoermaedamnionrisatnedr asulibejdecettetoctaofrinteesnt aost eaxccoeneddiitniogn$o1f0e0m. ployment or continued employment. An employer who violates this law shall bMeassusabcjehcutsteotctsrimapinpalilcpaenntas,ltpielesaasnedncoivtiel l:ia"Ibt iilsituy.n"lawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability." I understand that ALDI Inc. is not obligated to provide employment and that I am not obligated to accept employment. Nothing in this application, or in any prior or subsequent oral or written statement, is intended ItouncrdeeartsetaanndytchoanttAraLcDtIoInf ce.mispnlooytmobelnigtaotretdotcoreparoteviadneyermigphltosyinmtehnetnaantdutrheaotfIaacmonntorat cotbolifgeamtepdlotoymacecnetpetiethmeprleoxypmreesnst.orNiomthpilniegdi.nTthhiissaapppplliiccaattiioonn,dooreisnnaontybpinridoreoitrhseurbpsaerqtyufeonrtaosrpaleocirfiwc rpitetreiondstoaftteimmeenret,gisarindtinengded etomcpreloaytemaennyt.clounntrdaecrtsotaf nemd tphloayt mnoenont oerottohcerretahtaenatnhyerPigrhestsidinentht oefnAaLtDuIreInocf. haacsonantryacatuothf eomritpyltooyemnetnert ienitthoearneyxapgreressemoreinmtpcloiendtr.aTrhyitsoatphpelifcoarteiognoidnoge.sIfnhoitrebdin,dnoetithhinergpinartthyisfoarpapslipceactiiofinc pshearilol dreosftrtiicmt me ryergigahrdtiansgan eemmppllooyyemeeonrt.thleunridgehrtsotaf nAdLDtIhIantcn. aosoanneeomthpelrotyhearntothteermPriensaidteenmtyoef mALpDlIoIynmc.ehnatsaatnaynyautitmhoer, iwtyitthooernwteirthinotuotannoytiacegraenedmweintht coornwtriathryotuot tchaeusfoer.egoing. If hired, nothing in this application shall restrict my right as an Iehmeprelobyyeaecokrntohwelreigdhgteothf AaLtDI IhIanvce. aresaadn aenmdpulonydeerrtsotatnerdmthineaatebomvyeesmtaptelomyemnetn. t at any time, with or without notice and with or without cause. I hereby acknowledge that I have read and understand the above statement.
Signature of Applicant Signature of Applicant
Date Date
1028//1021//22001177
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