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Trader Joes Job Application Form

An individual seeking to be employed at a Trader Joe’s site needs to fulfill this form and submit it to the manager of the desired site.

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Unique foods and beverage at prices everyone can afford
AP	
Date recʼd
At store#
Recʼd by	
PERSONAL INFORMATION	
Please complete all information.  Use ink and print clearly, so we can get to know you!
Current Address             City /State/Zip             
Telephone # (       )            Other  # (      )      Email
Prior Address                     
Other Names (so that we may verify your employment history) 	
EMPLOYMENT HISTORY
EDUCATION & SKILL S	
Federal law requires you to produce within 3 business days of hire specific documents establishing your identity and authorization for employment in the US.	
YES          NO	
YES           NO	YES           NO	
Please account for the last 5 years, starting with the most recent.  Complete even if you are attaching a resume.
May we contact your current employer? 	
YES           NO	
YES           NO	
High School: Name             City            State  
Circle highest grade completed:    9    10    11    12     GED   Are you still attending?
College/Technical or Trade school/or other education/training (List all whether or not degree was obtained)
Name      Address        Dates    Major    Minor    Degree completed 
Describe any abilities, experience, or aptitude that you believe would be helpful in your job 
 Are you under 18 years of age?      Have you ever worked for Trader Joeʼs before? 
Are you legally authorized to work in the US?	
EEID	 	(If Hir
ed)	
M.I.	
COMPANY NAME               EMPLOYMENT DATES	  From             To 
Address            Phone#      Ending Salary     	
     	
Title                  Supervisorʼs Name         
What kind of work did you do?                Why did you leave?    
COMPANY NAME               EMPLOYMENT DATES	  From             To 
Address            Phone#      Ending Salary     	
     	
Title                  Supervisorʼs Name         
What kind of work did you do?                Why did you leave?    
COMPANY NAME               EMPLOYMENT DATES	  From             To 
Address            Phone#      Ending Salary     	
     	
Title                  Supervisorʼs Name         
What kind of work did you do?                Why did you leave?    
Last Name 
First Name

JOB INTEREST	  
How ma ny hours per w eek would you lik e to w ork?
Ho w did  you hear about T rader Joeʼs?
AN EQUAL OPPORTUNITY EMPLOYER:	 We are an equal opportunity employer and do not discriminate based upon race, color, religion, sex, sexual orientation, pregnancy, marital 
status, national origin, citizenship, veteran status, ancestry, age (over 40), physical or mental disability, medical condition (cancer-related), gender identity or expression, genetic information 
including sickle cell or hemoglobin C trait, or any other consideration made unlawful by applicable federal, state, or local law .	Your application will be considered active for 14 days.  For consideration after that, you must submit a new application.	
YOUR AV AILABILIT Y	
How soon could you star t working for Trader Joeʼs?     
Our shifts star t as early as 5:00 a.m. and end as late as 12:00 midnight.  What is your availability?   	
EARLIEST TIME
LATEST TIME	
SUNDAY	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY	
PLEASE READ CAREFULLY BEFORE SIGNING:
I read and understand the Position Description and can pe rfo rm the essential functions with or without a reasonable accommodation.
I authorize  Trader Joe ʼs to make any necessar y investigations into my personal histor y and authorize any former employer, educational institution, 
law enforcement agency , government agency , financial institution, or other person having personal knowledge about me to supply  Trader Joe ʼs or 
its  agents  with  any  infor mation  concerning  my  background.    I  release  from  liability  and  hold  har mless  any  individual  or  agency  supplying  this 
infor mation to  Trader Joe ʼs or its agents. I have received a Notice of Disclosure Under the Fair Credit Repor ting Act.  I understand that before any 
adverse action is taken based on infor mation obtained in the report(s), Trader Joe ʼs will provide me with a copy of the repor t(s) and a description 
in  writing  of  my  rights  under  the  Fair  Credit  Repor ting  Act.  I  answered  every  question  on  this  application  completel y,  truthfully  and  correctl y.  I 
understand that if I am hired and any of the infor mation I provided is found to be untruthful, misstated, or purposely omitted, I could lose my job. 
I understand bonding is a condition of hire.
I understand that this application is not an of fer, promise, or contract of employment, either expressed or implied.  My employment would be “at 
will” and could be ter minated by either Trader Joeʼs or me at any time, with or without notice or cause.
APPLICANT'S SIGN ATURE (V oid unless signed and dated)            D ATE	
TERMS OF HIRE
SECURIT Y	
MARYLAND APPLICANTS ONL Y: I acknowledge that I have been advised that UNDER MD L	AW, AN EMPLOYER M	AY NOT REQUIRE OR DEMAND, AS A 	CONDITION OF EMPLOYMEN	T, PROSPECTIVE EMPLOYMEN	T, OR CONTINUED EMPLOYMEN	T, TH	AT AN INDIVIDUAL SUBMIT TO OR 	TAKE A LIE 	DETECTOR OR SIMILAR TES	T.  AN EMPLOYER WHO VIOL	ATES THIS L	AW IS GUI	LTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING 	$100. 	MASSACHUSETTS APPLICANTS ONL Y:  I acknowledge that I have been advised that it is unlawful in Massachusetts to require or administer a lie 	detector test as a condition of employment or continued employment.  An employer who violates this law shall be subject to criminal penalties and civil liability .
APPLICANT'S SIGNATURE (V oid unless signed and dated)            D ATE
YES           NO              No. of   Times  
HAVE YOU EVER BEEN CONVICTED OF (OR PLEADED GUILTY OR NOLO CONTENDERE TO) A CRIME?  (Exclude minor traffic violations, sealed or 
juvenile convictions, expunged or statutorily eradicated records, and misdemeanor convictions for which probation has been successfully completed or 
otherwise discharged and the case has been judicially dismissed pursuant to California Penal Code § 1203.4.  Also exclude marijuana-related convictions 
occurring 2 or more years ago for violations of California Health & Safety Code § 11357(b) or (c), or of Sections 11360(b), 11364, 11365, or 11550 as 
they related to marijuana prior to January 1, 1976.)
                                                                                                                                                        
DID THE CONVICTION(S) (OR GUILTY OR NOLO CONTENDERE PLEA) RESULT IN IMPRISONMENT?
                                                                                                                                            
 
EXPLAIN EACH CONVICTION (AND GUILTY OR NOLO CONTENDERE PLEA) FULLY.  (A conviction or guilty or nolo contendere plea will not necessarily 
disqualify an applicant, but it may affect your suitability for some positions.)
YES           NO              No. of   Times  
Califor nia  Applicants:   Exclude  convictions  for  marijuana-related  of fenses  more  than  2  years  old  or  for  minor  tra ffic  violations;  juvenile  convictions; misdemeanor convictions for which probation was completed and the case was dismissed, or any infor mation concerning a referral to, and participation 
in, any pre-trial or post-trial diversion program.  Connecticut Applicants: Do not disclose the existence of any arrest, criminal charge or conviction in which 
the records have been erased (such as records pertaining to a finding of delinquency , or that a child was a member of a family with service needs, an 
adjudication as a youthful offender , a criminal charge that has been dismissed or nulled, a criminal charge for which you have been found not guilty , or 
a  criminal  charge  for  which  you  received  an  absolute  pardon.).  If  your  records  have  been  erased  you  are  deemed  to  have  never  been  arrested  with 
respect to the erased proceedings and may so swear under oath.  District of Columbia Applicants: Respond only for convictions in the last ten years.  Georgia Applicants: Exclude discharges under the First Offender law without a court adjudication of guilt.  Massachusetts Applicants: Do not complete this section. New  York Applicants: If you are refused employment and have been previously convicted of one or more criminal offenses, you may request and receive from  Trader Joe ʼs, within 30 days of request, a written statement of reasons employment was denied.  Oregon Applicants: You will be notified accordingly if  Trader Joe ʼs requests criminal offender infor mation from the Dept. of State Police.  Pennsylvania Applicants: Do not complete this section.  Washington Applicants: Respond only for convictions in the last 10 years.

TRADER JOE'S 	
Position Description 	
Crew  	
 
  	
A	t Trader Joe’s…unyielding integrity is required of us all. The Crew plays a pivotal role in creating a WOW! 
customer experience, and they demonstrate their commitment to our Values Guide through their love for the 
customer. 
 
The most important role for the Crew is to deliver a great customer experience.  The Crew creates a fun, warm 
and friendly shopping experience throughout the store.  They share their product knowledge and enthusiasm with 
customers by answering questions, offering suggestions, and walking customers to products.  The Crew makes 
sure our customers know they are welcome and cared for.  
  
Responsibilities:	
 
Engages customers by: 
 Greeting them, making eye contact and saying hello.  
 Answering questions and helping customers find items. 
 Offering suggestions for meals and entertaining.  
 Telling the story behind our products with signs and displays that WOW! 
 Operating the cash register efficiently, being respectful of our customer’s time. 
 Bagging groceries with care and enthusiasm. 
 Helping customers out to their cars when needed. 
 Promptly getting back to customers who have questions that need follow up. 
 
Prepares the store for customers by: 
 Receiving, unloading and verifying deliveries. 
 Stocking shelves, regularly rotating product and recording spoils and returns. 
 Building eye catching, informative merchandise displays. 
 Keeping the store colorful and signed – don’t let a story go untold! 
 Exercising good hygiene and proper food handling procedures. 
 Keeping the demo area fresh and exciting – a destination for customers to taste new products. 
 Making the store shine - cleaning floors, bathrooms, break rooms. 
 Collecting shopping carts and performing appropriate parking lot and store maintenance and upkeep. 
 
Works as part of a team by: 
 Being friendly, courteous and respectful of fellow crew members. 
 Working with a sense of urgency within designated time frames.  
 Seeking out new assignments and responsibilities. 
    Arriving to work on time and ready to work at the start of their shift. 
    Understands the importance of safety while performing all duties. 
 
All tasks are important and build upon our commitment to welcome and Wow! our customers.  It is important that 
each crew member contributes to a great customer experience by participating in all aspects of the job. 
 
The Crew work standing and walking for extended periods of up to three hours at a time.  They use repetitive 
hand movements, and frequently lift weights up to 25 pounds.  The Crew may occasionally lift weights from 10-
50 pounds, to heights of 10 to 72 inches.  They may also maneuver a 2-wheeled hand truck loaded with products 
weighing up to 200 pounds.  Portions of the shift may be performed in temperatures around or below freezing.  
There may be abrupt temperature changes as the Crew moves from one environment to another. 
 
Education	
:  High school graduate preferred. 
We deem regular and punctual attendance an essential part of the job.        Rev. 8/2011

Para informacion en espanol, visite 	www.ftc.gov/credit	 o escribe a la FTC Consumer Response Center, Room 130 -A 600 Pennsylvania 
Ave. N.W., Washington, D. C. 20580. 	
 	A Summary of Your Rights Under the Fair Credit Reporting Act 	The federal Fair Credit Reporting Act (FCRA) promotes the accura cy, fairness, and privacy of information in the files of consumer reporting agencies. 
There are many types of consumer reporting agencies, including  credit bureaus and specialty agencies (such as agencies that sell information about 
check writing histories, medical records, and rental history re cords). Here is a summary of your major rights under the FCRA.  For more information, 
including information about additional rights, go to 	
www.ftc.gov/credit	  or write to: Consumer Response Center, Room 130-A, Federal Trade 
Commission, 600 Pennsylvania Ave. N.W., Washington, D.C. 20580. 	
 •  	You must be told if information in your file has been used 
against you.  Anyone who uses a credit report or another type of 
consumer report to deny your appl ication for credit, insurance, or 
employment – or to take another adverse action against you – must 
tell you, and must give you the name, address, and phone number 
of the agency that provided the information. 	
•  	You have the right to know what is in your file. You may request 
and obtain all the information about you in the files of a consumer 
reporting agency (your “file disclosure”). You will be required to 
provide proper identification, which  may include your Social Security 
number. In many cases, the disclosure will be free. You are entitled 
to a free file disclosure if: 
•  	a person has taken adverse action against you because of 
information in your credit report; 	
• 	you are the victim of identify theft and place a fraud alert in your 
file; 	
• 	your file contains inaccurate information as a result of fraud; 	• 	you are on public assistance; 	• 	you are unemployed but expect to apply for employment within 
60 days. 	
In addition, by Septem ber 2005 all consumers  will be entitled to 
one free disclosure every 12 months upon request from each 
nationwide credit bureau and from nationwide specialty 
consumer reporting agencies. See 	
www.ftc.gov/credit	 for 
additional information. 	
•  	You have the right to ask for a credit score.  Credit scores are 
numerical summaries of your credit-worthiness based on 
information from credit bureaus. You may request a credit score 
from consumer reporting agencies that create scores or distribute 
scores used in residential real property loans, but you will have to 
pay for it. In some mortgage transactions, you will receive credit 
score information for free from the mortgage lender. 	
•  	You have the right to dispute incomplete or inaccurate 
information.  If you identify information in your file that is incomplete 
or inaccurate, and report it to the consumer reporting agency, the 
agency must investigate unless y our dispute is frivolous. See 
www.ftc.gov/credit	 for an explanation of dispute procedures. 	• 	Consumer reporting agencies must correct or delete 
inaccurate, incomplete, or unverifiable information.  Inaccurate, 
incomplete or unverifiable information must be removed or 
corrected, usually within 30 days. However, a consumer reporting 
agency may continue to report in formation it has verified as 
accurate. 	
•  	Consumer reporting agencies may not report outdated 
negative information.  In most cases, a consumer reporting agency 
may not report negative information that is more than seven years 
old, or bankruptcies that are more than 10 years old. 	
•  	Access to your file is limited.  A consumer reporting agency may 
provide information about you only to people with a valid need -- 
usually to consider an application with a creditor, insurer, employer, 
landlord, or other business. The FCRA specifies those with a valid 
need for access. 	
•  	You must give your consent for reports to be provided to 
employers.  A consumer reporting agency may not give out  information about you to your employer, or a potential employer, 
without your written consent given 
to the employer. Written consent 
generally is not required in the trucking industry. For more 
information, go to 	
www.ftc.gov/credit	 	•  	You may limit “prescreened” offers of credit and insurance you 
get based on information in your credit report.  Unsolicited 
“prescreened” offers for credit and insurance must include a toll-free 
phone number you can call if you choose to remove your name and 
address from the lists these offers are based on. You may opt-out 
with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-
8688). 	
•  	You may seek damages from violators.  If a consumer reporting 
agency, or, in some cases, a user of consumer reports or a furnisher 
of information to a consumer reporting agency violates the FCRA, 
you may be able to sue in state or federal court. 	
•  	Identity theft victims and active duty military personnel have 
additional rights.  For more information, visit 	www.ftc.gov/credit	 	States may enforce the FCRA, and many states have their own 
consumer reporting laws. In some cases, you may have more rights 
under state law. For more information, contact your state or local 
consumer protection agency or your state Attorney General. 
Federal enforcers are: 
 
TYPE OF BUSINESS: 	CONTACT: 	
Consumer reporting agencies, creditors and 
others not listed below 	Federal Trade Commission: Consumer Response Center - FCRA Washington, DC 20580 (877-382-4357) 	
National banks, federal branches/agencies of 
foreign banks (word "National" or initials "N.A." 
appear in or after bank's name) 	Office of the Comptroller of the CurrencyCompliance Management, Mail Stop 6-6Washington, DC 20219 (800-613-6743) 	
Federal Reserve System member banks 
(except national banks, and federal 
branches/agencies of foreign banks) 	Federal Reserve Board Division of Consumer & Community 
Affairs 
Washington, DC 20551 (202-452-3693) 	
Savings associations and federally chartered 
savings banks (word "Federal" or initials 
"F.S.B." appear in federal  institution's name) 	Office of Thrift Supervision Consumer Complaints Washington, DC 20552 (800-842-6929) 	
Federal credit unions (words "Federal Credit 
Union" appear in institution's name) 	National Credit Union Administration 1775 Duke Street Alexandria, VA 22314 (703-519-4600) 	
State-chartered banks that are not members 
of the Federal Reserve System 	Federal Deposit Insurance Corporation Consumer Response Center,  2345 Grand Avenue, Suite 100 Kansas City, Missouri 64108-2638 (877-275-3342) 	
Air, surface, or rail common carriers regulated 
by former Civil Aeronautics Board or Interstate 
Commerce Commission 	Department of Transportation , Office of 
Financial Management 
Washington, DC 20590 (202-366-1306) 	
Activities subject to the Packers and 
Stockyards Act, 1921 	Department of Agriculture Office of Deputy Administrator - GIPSA Washington, DC 20250 (202-720-7051)

TRADER JOE’S 
EQUAL OPPORTUNITY INFORMATION 
 
 
 
TRADER JOE’S is an equal opportunity employer and does not discriminate based upon 
race, color, religion, sex, sexual orientation, pregnancy, marital status, national origin, 
citizenship, veteran status, ancestry, age (over 40), physical or mental disability, medical 
condition (cancer-related), gender identity or expression, genetic information including 
sickle cell or hemoglobin C trait or any other consideration made unlawful by applicable 
federal, state, or local law.  You are not obligated to complete this form, but your 
assistance would be appreciated. 
 
The information requested in this form will be used solely to comply with state and 
federal legal requirements and will be kept strictly confidential.  This form is not part of 
your Application for employment and none of the information disclosed in this form will 
be considered in any employment-related decision (including hiring). 
 
 
 
 
 
 
Name: _________________________________________ Date: ___________ 
 
 
Gender (check one):  
Male _____ Female _____ 
 
Ethnicity/Race (check one): 
 
____ Hispanic or Latino 
____ White 
____ Black or African American 
____ Native Hawaiian or Pacific Islander 
____ Asian 
____ American Indian or Alaska Native 
____ Two or more races
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