Applying at Samuels Seafood

The Company uses the following procedures concerning its Employment Application. These procedures are to streamline the application process and to
ensure compliance with various laws and regulations the Company follows in accepting and considering job applications. If you do not follow these procedures, your application will not be considered.

1. As used in this Application, "Company" refers to Samuels and Son Seafood Co.

2. The Application must be completed fully. A resume may be attached as a
   supplement, but it is not a substitution for fully, truthfully, and accurately
   completing the Application.

3. Do not list or identify on the application information that reveals your race, creed, color, national origin, age, religion, disability, or sex. You will be asked to
   voluntarily provide this information in a separate document the Company
   maintains as required by various laws.

4. Do not provide information that is not specifically requested.

5. The Company is proud to be an Affirmative Action/Equal Opportunity Employer, M/F/D/V.

NOTICE: This Application is considered active for thirty (30) days from the date submitted. For further consideration after this date, a new application must be submitted.

How did you hear about the company?
—Please choose an option—Social Media/FacebookCareerBuilderIndeedNewspaper AdvertisingWalk-InCampus RecruitingEmployee ReferralMilitaryAcquisitionPrivaEmployment AgencyInternetOther
If other please explain:

If you have a resume, please attach here (Limit 25mb):

Cover Letter

LOCATION & POSITION

Select Location:
PhiladelphiaPittsburghLas VegasOrlando

Job Category:
SalesMarketingAccountingGeneral OfficeWarehouseDriversOther

Position Desired:

PERSONAL INFORMATION

Are you over the age of eighteen?

YesNo

Did someone refer you? If so, please list their full name.

YesNo  

Have you been previously employed by a company in the seafood business or by the Company?

YesNo If yes, when?  

For whom?  

Are you legally eligible for employment in the country?

YesNo

Are you currently on lay-off status and subject to recall?

YesNo

May we contact your current employer?

YesNo

Do you have any relatives employed by the Company?

YesNo If yes, please list  

What hours, shifts or days are you seeking to work?

Note: Answering “Yes” to the following question will not automatically eliminate you from consideration for employment.

Have you ever been dismissed, terminated, or forced to resign from any employment?

YesNo

If yes, please give date and details of each such termination of employment:

SKILLS & QUALIFICATIONS

Summarize any training, skills, licenses, and/or certifications that may qualify you for this position.

Summarize any equipment you operate, software with which you are familiar or any additional information that may qualify you for this position.

EDUCATION

Are you currently unemployed?
YesNo

If yes, please give the date you were first unemployed  

EMPLOYMENT HISTORY

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including any military service and any period of unemployment. If self-employed, give firm name and supply business references, and, if necessary, request a continuation page to fully and accurately complete this section.

Professional References (No personal references please)

SPECIALIZED SKILLS

Complete if applicable to the position for which you are applying:

STATEMENT OF CERTIFICATION

I hereby certify that this application (and accompanying resume, if any) is true and complete, contains no willful misrepresentation or falsification, and that the information given by me is true and accurate. I understand that findings of any misrepresentation, falsification, or omission could result in the rejection of my application or in the immediate termination of my employment.

I authorize all previous and current employers, or anyone identified as a reference, to give any and all information concerning my employment history to the Company, and I release all parties of any and all liabilities from any damage, which may result from the furnishing of such information.

If I am hired, I understand that my employment will be for no definite period of time, regardless of the period of payment of my wages. I further understand I have the right to terminate my employment at any time, with or without notice, and that the Company has the same right. I agree that the contents of employee
handbooks, personnel manuals, benefit plans, policy statements, and the like, as they may exist from time to time, shall not serve as such writing to modify the at will nature of my employment. No one other than the CEO, COO or the CFO, of the Company has the authority to modify the at will nature of the employment
relationship or make any agreement to the contrary. Any such modification must be in writing.

I agree to submit to any physical examination and/or lawful drug and alcohol integrity testing that may be required as a post-offer condition of employment. I
understand that any offer of employment will be contingent upon successful results of a drug screen, physical examination, or background investigation, if
applicable.

I certify and agree to the above.

Applicant Signature

Date

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