The White Market
Employment Application

Please fill out and complete the application below. A representative from
The White Market will be in touch with you at their convenience.

Thank you for interest in working with us.

Name *
Name
Address *
Address
Phone *
Phone
Are you 16 years or older? *
Are you 18 years or older? *
Available start date *
Available start date
Preferred Location *
Can work nights
Can work weekends
EDUCATION
Currently in High School? *
Years Completed
Diploma? *
Currently in College? *
Years Completed
EMPLOYMENT HISTORY
Phone Number
Phone Number
Address
Address
Supervisor
Supervisor
Employed From
Employed From
Employed To
Employed To
Phone Number
Phone Number
Address
Address
Supervisor
Supervisor
Employed From
Employed From
Employed To
Employed To
Phone Number
Phone Number
Address
Address
Supervisor
Supervisor
Employed From
Employed From
Employed To
Employed To
Professional/Personal References
1. Reference Name *
1. Reference Name
Phone Number *
Phone Number
Address *
Address
2. Reference Name *
2. Reference Name
Phone Number *
Phone Number
Adress *
Adress
The information in this application is correct and complete to the best of my ability. If employed, I understand that false or misleading information given in my application or interview may result in dismissal. I also understand that I am required to abide by all rules and regulations of the White Market. If hired, I understand that my employment would be at-will, meaning both the White Market or I could terminate my employment at any time, with or without cause or notice. I further understand that completing an application does not guarantee that I will be hired. I authorize the White Market and its representatives to contact my prior employers and references for the purpose of verifying the information I have supplied and release the White Market from any liability for doing so.