Online Application Form | Nassau Health Foods

At Nassau Health Foods, we understand that people cannot always make it into the store to submit an application. Whether you are a busy professional or moving to Fernandina from out of town, please feel free to take advantage of our online application. You may also upload any other documents that you feel may be important to us as well.

Thank you for your interest in Nassau Health Foods!

(^* indicates required fields)

^*First Name:

^*Last Name:

^*Your Email:

^*Subject:

⌘ PERSONAL INFORMATION ⌘

^*Street Address:

Address Line 2:

^*City:

^*State/Province/Region:

^*Zip Code:

SSN:
--

^*Primary Phone Number:
()-

Secondary Phone Number:
()-

⌘ EMPLOYMENT DESIRED ⌘

^*Position Desired:

^*Date You Can Start:

Salary Desired:

^*Are you employed now?
YES NO

If so, may we inquire of your present employer?
YES NO

^*Are you legally allowed to work in the US?
YES NO

⌘ EDUCATION HISTORY ⌘

High School:

Did you graduate?
YES NO

Subjects Studied:

College:

Did you graduate?
YES NO

Subjects Studied:

Trade, Business, or Correspondence School:

Did you graduate?
YES NO

Subjects Studied:

⌘ GENERAL INFORMATION ⌘

Subjects of Interest:

Special Training:

Special Skills:

U.S. Military or Naval Service:

Rank:

⌘ FORMER EMPLOYERS ⌘

Employer 1

^*Name:

^*Location:

^*Phone Number:
()-

^*Start Date:

^*End Date:

^*Job Description:

^*Reason For Leaving:

^{_______________________________________________________________}

Employer 2

Name:

Location:

Phone Number:
()-

Start Date:

End Date:

Job Description:

Reason For Leaving:

^{_______________________________________________________________}

Employer 3

Name:

Location:

Phone Number:
()-

Start Date:

End Date:

Job Description:

Reason For Leaving:

⌘ REFERENCES ⌘

Reference 1

^*Name:

^*Street Address:

Address Line 2:

^*City:

^*State/Province/Region:

^*Zip Code:

^*Phone Number:
()-
^{_______________________________________________________________}

Reference 2

Name:

Street Address:

Address Line 2:

City:

State/Province/Region:

Zip Code:

Phone Number:
()-
^{_______________________________________________________________}

Reference 3

Name:

Street Address:

Address Line 2:

City:

State/Province/Region:

Zip Code:

Phone Number:
()-

⌘ AUTHORIZATION ⌘

"I certify that all information is true and complete. I understand that any misleading or incorrect statements render this application void and may be cause for termination. I hereby authorize Nassau Health Foods or its designees, to

make such investigations and inquiries of statements contained in this application, of my driving record, employment history, educational background, and/or criminal conviction history as may be necessary in arriving at an employment

decision and as otherwise authorized by applicable Federal and State laws. I hereby authorize past employers, public entities, schools, and references named herein to give information in responding to inquiries in connection with this

application. I release said companies, public entities, schools or persons from all liability for issuing this information relative to this application or any employment with Nassau Health Foods. If employed, I agree to conform to the

rules and regulations of Nassau Health Foods, some of which are listed in the Employee Handbook.
These rules and regulations may be changed, interpreted, withdrawn or added to by Nassau Health Foods at any time. I also consent to such searches, inspections, examinations, and Drug and Alcohol testing, as any be required by company

policy and permitted by law. I further acknowledge that my employment may be terminated and any offer of employment, if such is made, may be withdrawn, with or without cause, and with or without prior notice, at any time at the option of

Nassau Health Foods or me. I further acknowledge that no oral promises or guarantees in connection with any aspect of my employment will be binding, unless confirmed in writing by the Owners.

My signature below acknowledges that I have completed this application to the best of my knowledge and I have read and I understand the conditions, statements, and authorizations disclosed on this “Application for Employment.” I further

understand that any false, incomplete, or withheld information relating to this application may be grounds for Nassau Health Foods withdrawal of an employment offer or termination of my employment if discovered after my hire date.

Also, by emailing this application I acknowledge that I have completed this application to the best of my knowledge and I have read and I understand the conditions, statements, and authorizations disclosed on this “Application for

Employment.” I further understand that any false, incomplete, or withheld information relating to this application may be grounds for Nassau Health Foods withdrawal of an employment offer or termination of my employment if discovered

after my hire date."

Accept:

You may choose to upload a cover letter, resume, and any other pertinent documents (i.e. letters of recommendation)

(Accepted File Formats: .doc / .jpeg / .bmp / .png / .rtf / .pdf)

Cover Letter

Resume

Misc. 1

Misc. 2

Misc. 3

(Note: Once you hit submit, the form is cleared. Please double check your entries!)