Name
Date of Birth
Address
Contact Info
In case of emergency, notify the following person
Do you have the legal right to live and work in the USA?
YESNO
Are you willing to take a written attitude survey or a urinalysis drug test now or in the future?
Lifting of item up to 35 lbs. may be required in the course of your employment. Are you able to do so?
Store Location:
Bens Market#1, WA, BlaineBens Market#2, WA, BlaineBens Market#3, WA, BellinghamBens Market#4, WA, BellinghamBens Market#5, WA, Cle ElumBens Market#6, WA, Cle ElumBens Market#7, WA, Cle ElumBens Market#8, WA, EllensburgBens Market#9, WA, EllensburgBens Market#10, WA, QuincyBens Market#11, WA, EphrataBens Market#12, WA, EphrataBens Market#13, WA, Coulee DamBens Market#14, WA, Grand CouleeBens Market#15, WA, Grand CouleeBens Market#16, WA, EllensburgBens Market#17, WA, Blaine
Date available to work
Full TimeRegularPart TimeTemporary
Do you have reliable transportation to report to work as scheduled?
YesNo
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
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