EMPLOYMENT


Are you seeking a rewarding career or looking to earn extra money? Why not consider employment at Stauffers! Employment opportunities include cashiers, clerks, department assistants and management. (Positions will vary based on season and location.)


EMPLOYMENT APPLICATION FORM
Required Fields Are In BOLD Print.
Apply online by completing the following information, then click on the submit button.

First Name
Last Name
Street Address
Apt #
City
State
Zip Code
Phone Number
Email Address
Social Security Number*

*If you are uncomfortable supplying your Social Security Number via email on an unsecured site, please fill the field with ones (111 11 1111). You will be responsible for calling Human Resources (717-626-4771) to give them your Social Security Number. Your application will not be processed until Human Resources has a valid Social Security Number.
Location Applying For
 
Current/Last Employer Information: Please Complete Information For Five Employers
Current/Last Employer (1)
Employer's Address
Employer's Phone Number
Name of Supervisor
Position Held
Dates of Employment
Reason For Leaving
 
Previous Employer (2)
Employer's Address
Employer's Phone Number
Name of Supervisor
Position Held
Dates of Employment
Reason For Leaving
 
Previous Employer (3)
Employer's Address
Employer's Phone Number
Name of Supervisor
Position Held
Dates of Employment
Reason For Leaving
 
Previous Employer (4)
Employer's Address
Employer's Phone Number
Name of Supervisor
Position Held
Dates of Employment
Reason For Leaving
 
Previous Employer (5)
Employer's Address
Employer's Phone Number
Name of Supervisor
Position Held
Dates of Employment
Reason For Leaving
 
Type of Work Desired:
First Choice
Second Choice
 
List All Days and Hours Available.
 
List Special Qualifications and/or Education relevant to the position you are applying for.
 
Are you at least 18 years of age?
Yes
No
Are you at least 16 years of age?
Yes
No
Are you presently employed?
Yes
No
If yes, may we contact your present employer?
Yes
No
Available for work starting:
Are you applying for:
Full-time
Part-time
Applying for seasonal employment?
Yes
No
If Seasonal, available until:
Salary & Wage Expected:
 
   Applications for employment with Stauffers of Kissel Hill must reflect a complete work history. If enough space is not provided, please utilize the spaces available, and the remaining work history may be given at a later date. Applications deemed to be incomplete in any way will not be considered for employment.
   I acknowledge that any misrepresentation or omission of any fact on the applicaiton, resume or any other materials, or any interview, can be justification for refusal of employment or termination of such employment. I understand that as a condition of employment I may be required to submit to drug testing and/or successfully complete an employment physical.
   In processing my application for employment, the company may verify all of the information I have provided, or may have prepared an investigative consumer report concerning my prior employment, education, character, general reputation and personal characteristics.
   Stauffers will follow the laws related to the gathering of such information.

By checking ACKNOWLEDGE below, you accept and agree to all of the above terms. (This field is required.)
Yes, I ACKNOWLEDGE, accept and agree to all of the above terms.
 
 
In addition to this mini application, you must complete our full application prior to any employment decision. You agree that if hired, your employment will be subject to all Stauffers employment policies, terms, and conditions of employment. See Human Resources for details. Thank you for applying!


© 2008 Stauffers of Kissel Hill. All rights reserved.