Employment Application Form

The application below is for Martin’s Super Markets stores located in Indiana and Michigan.  Martin’s Super Markets is independently owned and has no affiliation with Martin’s Food Market stores in several other states.

 Martin’s Super Markets does not discriminate in hiring or employment on the basis of age, race, sex, religion, color, national origin, disability, or any other legally protected status in accordance with applicable local, state, and federal law.  No question on this application is intended to be used for such discrimination.  We provide a smoke free working environment.


Martins Super Market Employment Application

An Equal Opportunity Employer
 
Date: 4/21/2014
 
Personal Information
First Name*
Middle Name
Last Name*
Phone*
Email*
Alternate Phone
 
 
Street Address*
Apartment
City*
State, Zip*
  
 
 
Personal Questions
Question 1*
  Yes    No
Have you ever worked for Martins Super Market in the past?
 
Question 2*
  Yes    No
Are you legally eligible to work in the United States?
 
Question 3*
  Yes    No
May we contact your current employer?
 
Question 4*
  Yes    No
May we contact your previous employer?
 
Question 5*
  Yes    No
Are you under 18 years of age?
 
 
Work Amount Desired
 
Full Time  Part Time  Temporary / Seasonal
 
 
Position(s) Desired
To select more than one item, press the Ctrl key while selecting items with your mouse

 
Location Desired
 

Martin's, 1302 Elwood Ave, South Bend IN
Martin's, 1200 Nappanee St., Elkhart IN
Martin's, 314 N. Ironwood Dr. , Mishawaka IN
Martin's, 201 Concord Mall, Elkhart IN
Martin's, 4401 Western Ave, South Bend IN
Martin's, 2081 South Bend Ave, South Bend IN
Martin's, 926 Erskine Plaza, South Bend IN
Martin's, 306 N. Bittersweet, Mishawaka IN
Martin's, 555 E. Jackson St., Elkhart IN
Martin's, 120 Sanford School Road, Elkhart IN
Martin's, 12850 State Road 23, Granger IN
Martin's, 3900 East Bristol St., Elkhart IN
Martin's, 720 S. 11th Street, Niles MI
Martin's, 3420 E. Market St., Logansport IN
Martin's, 242 N. Oakland Ave., Nappanee IN
Martin's, 2121 S. Cleveland Ave., St. Joseph MI
Martin's, 865 E. Jefferson, Plymouth IN
Martin's, 5637 Cleveland Ave., Stevensville MI
Martin's, 1527 Bashor Road, Goshen IN
Martin's, 7355 Heritage Square Dr., Granger IN
Martin's, 1150 Husky Trail, Warsaw IN
Main Office
Central Bakery
Warehouse
 
Availability
Available to Start
Weekday
Specific Times
 Monday
 Tuesday
 Wednesday
 Thursday
 Friday
 Saturday
 Sunday
 
Wage Desired
Wage Desired
Wage Per
 
 
Education: Schools, Colleges & Other Training (List In Order Of Completion)
High School
 
Name  Years Complete
 Graduated/Completed  Yes  No  Attending
 
College
 
Name  Years Complete
 Graduated/Completed  Yes  No  Attending
 
Other 1
 
Name  Years Complete
 Graduated/Completed  Yes  No  Attending
 
Other 2
 
Name  Years Complete
 Graduated/Completed  Yes  No  Attending
 
Employment History (List Most Recent First)
Employer 1
 
Employer
Last Position
Supervisor
Street Address
City
State  Zip
Phone
Ending Pay
Employed From To Reason For Leaving   
Duties & Responsibilities
 
Employer 2
 
Employer
Last Position
Supervisor
Street Address
City
State  Zip
Phone
Ending Pay
Employed From To Reason For Leaving   
Duties & Responsibilities
 
Employer 3
 
Employer
Last Position
Supervisor
Street Address
City
State  Zip
Phone
Ending Pay
Employed From To Reason For Leaving   
Duties & Responsibilities
 
 
Special Skills & Qualifications
Describe any special skills or qualifications for this position.
 
 
Referral Source
 
Walk-In   Employee   Friend / Relative
School / Job Fair   Newspaper / Advertisement   Other
If Other, please specify:
 
 
Policy & Application Agreement
 
I certify that the information I have provided in this application and/or during the interview process is true to the best of my knowledge. I understand that any misrepresentation, stated or implied, may result in the denial of employment or in termination if I am hired. I understand and agree that all information furnished in this application may be verified by Martin's Super Markets or its authorized representative. I further understand that, if I am hired, I am required to abide by all of Martin's Super Markets' rules, policies, and procedures. I also understand that Martin's Super Markets' rules, policies and procedures can and may be changed or modified without notice. I also understand that Martin's Super Markets is not obligated to provide employment to me and that I am not obligated to accept employment. Nothing in this application or in any prior oral or written statements made by Martin's Super Markets or its authorized representative is intended to create any employment contract or any rights in the nature of an employment contract. This application does not bind either me or Martin's Super Markets for a specific period of time regarding employment. Any applicant who provides unrequested information will not be considered.
 I Agree   I Do Not Agree *
 
 
Submit Your Application
 
You can submit your completed application to us electronically by clicking the Submit Button below, or if you prefer you can click the Print Button to view a printer friendly version of your completed application.