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Download the Safeway Grocery Job Application Form that is used by applicants who are seeking a job or career with Safeway Grocery. Fill in all of the required information and submit your application to management. Once reviewed, you may be eligible to become an employee with Safeway. Safeway is an equal opportunity employer.

How To Write

Step 1- Section 1 – Personal Information –

  • Provide the required information as follows:
  • Name – First, Middle Initial, Las
  • Telephone number with area code
  • Other names used for employment or education (if any(
  • Address – Street/Apt number, City, Stgate, Zip Code, County and Social Security Number
  • What positions are you interested in applying for (enter position into the line)
  • Check the time you would be interested in Full/Part/Either
  • Preferred Facility/Store
  • Are you under the age of 18 – check yes or no
  • Are you able to work legally in the U.S? – Check yes or no
  • Have you ever worked for Safeway or an affiliate before? Check yes or no
  • If so, when, where
  • What position was held
  • Reason for leaving
  • List the names of any relative who work for Safeway if so:
  • Name, Relationship, location
  • Have you been convicted of a crime outside of a minor motor vehicle violation in the past 10 years
  • If so, provide date, location, nature and disposition of the offense
  • Date available to work, total hours per week
  • Complete the days of the week and times you would be readily available to work

Step 2 – Section 2 – Education –

  • Complete all of the information in the block with regard to education:
  • High School
  • College
  • Graduate
  • Other

Step 3 – Section 3 – Record of U.S.A Military and Reserve Service –

  • Provide the following information regarding military service:
  • Service Dates From month and year to month and year
  • Branch
  • Reserve Unit
  • Meeting Dates

Step 4 – Section 4 – Professional References –

  • Provide Professional or Personal References
  • Name, Address, Phone Number and Occupation

Step 5 – Section 5 – Employment History  –

  • List each job held during the last seven (7) year period with a minimum of at least three (3) employers. Begin with your present or position last held. Also, include any periods of unemployment, military service, and amy volunteer or part-time work experience. If necessary, use an additional sheet to include any other related work history beyond seven (7) years.
  • Complete the blocks with all of the above stated information
  • Have you ever been fired from a job or given an opportunity to resign? – Check yes or no, if yes, explain the circumstances

Step 6 – Section 6 – Read And Sign-

  • Read all of the information provided and check the paragraphs off as you read them by initialing
  • Once read, understood and agreed to, provide signature and date, as well, the interviewer must also sign and date the form once going over this information with the candidate

Step 7 – Section 7 – Application Information –

  • To be completed by the applicant:
  • Name (required)- First, Middle Initial, Las
  • Race/Ethnic Group- Check only one box
  • Application Date
  • Source Code
  • The next area of this section is to only be completed by hiring personnel

Step 8 – Section 8 – Notice and Consent –

  • Applicant must carefully read all of the information on the page
  • Once read, understood and agreed applicant must provide the following:
  • Print the name of the applicant
  • Date
  • Applicant or Employee Signature
  • Social Security Number
  • Street Address
  • City, State and Zip Code

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