Crossroads Pantry
Employment Application

Thank you for your interest in applying for employment at Crossroads Pantry. All fields with an asterisk(*) are required in order to submit the form. The form cannot be saved, so you must finish it in one sitting. Some fields are not required for submission, but it is important that you provide as much information as possible. Incomplete and inaccurate applications will not be reviewed.

 
 
Which location(s) are you applying for? *
Select all that apply.
Which position(s) are you applying for? *
Select all that apply.
Desired Employment *
Select all that apply.
Your Availability *
Select all that apply.
Applicant Information
Name *
Name
Phone *
Phone
Address *
Address
Referred By
Referred By
If you were referred by a current Crossroads Pantry employee, please indicate their name.
Are you a United States Citizen? *
If not a citizen, are you authorized to work in the United States?
Have you ever worked for Crossroads Pantry? *
Education
High School
City & State of High School
Did you graduate?
College or Other Education
City & State
Did you graduate?
References
Please provide 2-3 professional references NOT related to you.
Reference #1
Name *
Name
This person must not be related to you.
Reference's Phone Number *
Reference's Phone Number
Reference #2
Name *
Name
This person must not be related to you.
Reference's Phone Number *
Reference's Phone Number
Reference #3
Name
Name
This person must not be related to you.
Reference's Phone Number
Reference's Phone Number
Previous Employment
Please list your 3 most recent employers.
Company #1
Supervisor Name
Supervisor Name
Supervisor Phone Number
Supervisor Phone Number
May we contact this supervisor for a reference?
Company #2
Supervisor Name
Supervisor Name
Supervisor Phone Number
Supervisor Phone Number
May we contact this supervisor for a reference?
Company #3
Supervisor Name
Supervisor Name
Supervisor Phone Number
Supervisor Phone Number
May we contact this supervisor for a reference?
Disclaimer *
Please carefully read the statement below before agreeing and submitting your application.
Today's Date *
Today's Date
By typing your first and last name, you agree to the terms listed in the disclaimer listed above.
 
 

If you have a resume that you would like to add to your application, please email it to employment@crossroadspantry.com.