Piggly Wiggly Careers Application

Contact Information

First name

Last name

Phone number

Email

Address (apartment number, street, city, state, zip)

1. What is your desired department?

What is your desired position?

2. What is your desired hourly pay? (responses should look like this: XX.XX)

3. Are you applying for full-time or part-time work?(required)

Full-time (30+ hours per week) Part-time (20 hours per week or less)

If part-time, how many hours are you available for work per week?

4. Are you willing to relocate?(required)

Yes No

5. What is your preferred Piggly Wiggly location?

6. Have you ever been convicted of a crime? (required)

Yes No

If yes, please explain.

Emergency contact first name

Emergency contact last name

Emergency contact phone number

Emergency contact address (apartment number, street, city, state, zip)

Did you complete your highest education level?(required)

Yes No

If you selected “special training,” what was that training?

8. What kinds of business machinery can you operate? (cash register, forklift, etc.)

9. Describe your work history. (you may paste from your resume)

10. List your references. (names, emails and phone numbers)

11. Why do you want to work at Piggly Wiggly?

12. What makes you a valuable employee?

13. First available date for work (YYYY-MM-DD)