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Mariana's Supermarkets Online Application

An Equal Opportunity Employer

Personal Information

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Desired Position

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- Can you provide documentation proof of U.S. Citizenship or, if an Alien, proof of your authorization to work in the United States ?

- Have you ever been convicted of any law violation, except a minor traffic violation ?

- Have you ever been asked to resign from a Job ?

- Are you capable of performing the essential functions of the job for which you have applied, without a reasonable accommodation(s) ?

Education and Training

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Employment History

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Please answer the following questions

- Do you have a Health Card, if so can you provide it ?

- Do you have a TAM Card (Alcohol & Tabaco), if so can you provide it ?

- Do you have a Sheriff's Card, if so can you provide it ?

- Are you 21 years or over ?

- Are you "AT LEAST" 18 years old ?

- Have you ever worked at Mariana's Supermarkets in the Past ?

- Do you have any friends or family members working for Mariana's Supermarkets ?

- Date available to start working or approximate date :

Professional Referrences

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Authorization

I certify that I have not purposely withheld any information that might adversely affect my changes hiring. I attest to the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application. I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

Date: Sep / 16 / 2021

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Mariana's Supermarket