Employment Application Employment Application Employment Application for Consumers Beverages Name: First Last Address:* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone:*Cell Phone:Email Are you at least 18 years old?* Yes No Position You are applying for:Position title:Part-TimeFull-TimeSeasonalLocation:*2205 George Urban Blvd - Depew NY621 Delaware St. - Tonawanda, NY1291 Harlem Rd. - Cheektowaga, NY1244 French Rd. - Depew, NY1280 Abbott Rd. - Lackawanna, NY1375 Union Rd. - West Seneca, NY2440 Clinton St. - Cheektowaga, NY7105 Niagara Falls Blvd. - Niagara Falls, NY1825 Como Park Blvd. - Lancaster, NY3025 Sheridan Dr. - Amherst, NY2644 Elmwood Ave. - Kenmore, NY2765 Genesee St. - Cheektowaga, NY6161 W. Quaker St. - Orchard Park, NY5755 Maelou Dr. - Hamburg, NY5869 So. Transit Rd. - Lockport, NY444 Cayuga Rd. - Cheektowaga, NY8580 Transit Rd. - Amherst, NY3160 Niagara Falls Blvd. - Amherst, NYConsumers Beverages WarehouseConsumers MaintenanceAvalability* Select All Monday Tuesday Wednesday Thursday Friday Saturday Sunday Were you referred by an Employee of Consumers Beverages? Yes No Referred by: When can you start? MM slash DD slash YYYY If you have your resume, please upload it hereAccepted file types: pdf, doc, Max. file size: 5 MB.EducationHigh School: Did you graduate? Yes No College Name: Degree Earned: AFFIDAVIT- PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNINGI CERTIFY that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I UNDERSTAND that the employer may request an investigative consumer report from a consumer reporting agency. This report may include information as to my character, reputation, personal characteristics and mode of living obtained from interviews with neighbors, friends, former employers, schools, and others. I understand I have a right to make a written request within a reasonable time for the disclosure of name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. I AUTHORIZE the investigation of any or all statements contained in this application and also authorize any person, school, current employer (except as previously noted), past employers and organizations from any legal liability in making such statements. I UNDERSTAND that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I UNDERSTAND I may be required to successfully pass a drug screening examination. I hereby consent to a pre and/or post employment drug screen as a condition of employment is required. I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.Electronic Signature* First Last Date Untitled First Choice Second Choice Third Choice EmailThis field is for validation purposes and should be left unchanged. Δ