Application | Debra's Natural Gourmet

Name *
First
Last

Your Address
Address Line 1
Address Line 2
City
State
Zip Code

Phone *

E-Mail *

Position(s) Desired
If this is in response to a specific job posting, let us know. And please tell us if there are certain jobs or areas of the store you see yourself in more so than others.

Days Available to Work
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Available Start Date *

How many hours can you work a week?

How many hours would you like to?

Are you at least 18? *
Yes
No

Are you legally eligible to work in the U.S.? *
Yes
No

Do you have any scheduling conflicts or issues with transportation availability? Are there any hours and days you will be unable to work? *
You do not need to specify the nature of the commitment, but please do include both regular and recurring commitments; and any time you'll need off within the next three months.

Is there anything that might change your availability with us at some future date? (Start of school, updated visa status, relocation, childcare, pending application for a program or another job, etc.) If so, please describe. You do not need to disclose the specifics, just how it will effect your availability. *

Many of our jobs require the ability to lift 40 pounds, and stand on one's feet for long periods. Can you perform such work with or without reasonable accomodation? *
Yes
No

Many positions at Debra's Natural Gourmet require significant interaction with and exposure to the public. Most involve interaction, sometimes in close quarters, with other staff; handling items that have been handled by others, etc. So while we strive to promote safe social distancing and appropriate hygiene in accordance with state and federal guidelines, a retail food store may not be the safest place for individuals at higher risk for serious COVID-19 complications, or who are in close contact with high risk individuals. Do you understand and accept this aspect of the job? *
Yes
No

Are you willing and able to follow all COVID-19 safety guidelines? This includes but is not limited to: wearing a mask as directed, reporting all probable exposures and symptoms to management and the local authorities, and self-quarantine as directed by government and medical authorities? *
Yes
No

Have you ever applied for a job with us before? If so, were you ever interviewed, and with whom and/or for what department did you interview?

More About You

Why do you want to work for Debra's? What would make you a good fit with us? *
This is basically your cover letter. It can be formal or informal.

Education: what is the highest degree you've obtained? *

In what subject?

From which school?

Any other degrees, certificates, or coursework? Skills or abilities? Life experience that you'd bring to the job?
Computer skills to tap dancing...

What draws you to work for a natural products store?

Please upload your resume here

Previous Employment -- start with your most recent employer

Employer Name

Job Title

Employed From

To (Date)

Reason for Leaving

Name of Supervisor

May We Contact This Employer?
Yes
No

Employer #2

Employer Name

Job Title

Employed From

To (Date)

Reason for Leaving

Name of Supervisor

May We Contact This Employer?
Yes
No

Employer #3

Employer Name

Job Title

Employed From

To (Date)

Reason for Leaving

Name of Supervisor

May We Contact This Employer?
Yes
No

Personal & Professional References

If you want to use your supervisors from your three previous jobs, that's great. Just let us know. Otherwise, please include for each one their name, contact information (phone or e-mail), and relationship.

Reference #1

Reference #2

Reference #3

I certify that the facts set forth in this application and in any associated documents are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. I hereby authorize Debra's Natural Gourmet to make any investigations of my prior educational and employment history, and to contact my personal references. I will read any job descriptions or any materials provided by Debra's Natural Gourmet in connection to this job, and will promptly notify the company if I am unable or unwilling to meet the requirements stated therein. *
Yes
No

Hello, Potential New Staffer @ Debra’s Natural Gourmet!

Our Motto:

Our Mission:

Our Staff:

Our Process:

The Application:

More About You

Previous Employment -- start with your most recent employer

Employer #2

Employer #3

Personal & Professional References