Job Application – Piggly Wiggly AGC

Some of our current openings

Produce Manager
Mt. Vernon

Deli Manager
Fairhope

Experienced Meat Cutter
Mobile Area Stores

Store Cashiers
Mobile and Baldwin County

If you are a current Piggly Wiggly Employee and are interested in these or other opportunities, please click here for our short-form current employee application.

If you are interested in any of the above positions or future opportunities, please fill out the application below.

New Employment Application

Name

Position(s) applying for

For Which Location are you applying? (Check all that apply)

Home Phone

Last 4 digits of SSN

Address

Street Address City State ZIP Code

Any relatives that work here? If so, who?

Have you worked for Piggly Wiggly AGC before?

Yes

Which category do you prefer

Full Time

Part Time

Temporary

When can you work?

Weekdays

Weekends

Nights

High School Attended

Highest Grade Completed

Did you Graduate

Yes

Still Enrolled

College Attended

Did you Graduate

Yes

Still Enrolled

Security

List Counties and States of Residence for the last seven years

Have you used any Social Security numbers other than those on this page? If so, please list

Have you been convicted of a felony and/or served time in the past? If so, please describe below (In accordance with company policy, this information will be reviewed for job-relatedness and time since last conviction.)

Do you have a valid driver license? *

*This may not be required for the position applied for

Yes

Driver License Number

State

Type

Have you had any moving Violations?

Yes

If yes, please describe

Employment History

Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employer, the correct telephone numbers of past employers are critical.

Company

Still Employed?

OK to contact?

Yes

Hidden

May We Contact?

Address

Street Address City State ZIP Code

Dates Employed

Job Title

Supervisor

Duties

Salary

Reason for leaving

Second Most Recent Employer

Address

Street Address City State ZIP Code

Phone

Supervisor

Duties

Reason for Leaving

Third Most Recent Employer

Address

Street Address City State ZIP Code

Supervisor

Salary

Duties

Reason for Leaving

References

Include only individuals that are familiar with your work ability. Do not include relatives or friends. Name & Telephone Number

List

Name

Phone

How do you know them?

Hidden

Name

Hidden

Phone

Hidden

Name

Hidden

Phone

Consent

I certify that I have read and understand the applicant note on page one of this form and that answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application may result in rejection of my application or discharge any time during my employment. I authorize the company and/or its agents, including consumereporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies, and law enforcement authorities from liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. A positive test will result in termination. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during mployment.

I agree to the privacy policy.

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CAPTCHA

If you need help filling out this application form, or for any phase of the employment process, please notify the person that gave you this form and every effort will be made to accommodate your needs in a reasonable amount of time. Applicant note: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. Any false or misleading statement on this application, or during your employment, will be grounds for termination. Drug testing is required. A positive drug test will result in ineligibility for employment. A positive drug test after employment will result in termination. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin, or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Qualified applicants may request affirmative action hiring. Additional testing of job-related skills, and for the presences of drugs in your body, may be required prior to employment. After an offer of employment, and prior to reporting to work, you are required to submit to a medical review. Depending on company policy, and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.