{"id":2,"date":"2021-04-30T22:14:38","date_gmt":"2021-04-30T22:14:38","guid":{"rendered":"http:\/\/400south.space\/?page_id=2"},"modified":"2021-06-09T08:19:21","modified_gmt":"2021-06-09T14:19:21","slug":"sample-page","status":"publish","type":"page","link":"https:\/\/400south.space\/","title":{"rendered":"Al&#8217;s &#038; Barney&#8217;s Supermarkets"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-10\"><form id=\"wpforms-form-10\" class=\"wpforms-validate wpforms-form\" data-formid=\"10\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2\" data-token=\"d66678af0a631d2db33e24104a3804cb\" data-token-time=\"1777464209\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" data-page-2-title=\"Personal Information\" data-page-3-title=\"Availability\" data-page-4-title=\"Work History\" data-page-5-title=\"Education\" data-page-6-title=\"Final Page\"><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> &#8211; <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 6<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:16.666666666667%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-10-field_127-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"127\"><\/div><div id=\"wpforms-10-field_98-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"98\"><h3 id=\"wpforms-10-field_98\">AL\u2019S &amp; BARNEY&#039;S SUPERMARKETS &#8211; EMPLOYMENT APPLICATION<\/h3><\/div><div id=\"wpforms-10-field_99-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"99\"><div id=\"wpforms-10-field_99\">Please fill out the entire application to be considered for a position with us. <\/div><\/div><div id=\"wpforms-10-field_5-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"5\"><h3 id=\"wpforms-10-field_5\">Job Interest<\/h3><\/div><div id=\"wpforms-10-field_4-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-trigger\" data-field-id=\"4\"><label class=\"wpforms-field-label\">What position are you applying for: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_1\" name=\"wpforms[fields][4][]\" value=\"Cashier\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_1\">Cashier<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_2\" name=\"wpforms[fields][4][]\" value=\"Bagger\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_2\">Bagger<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_3\" name=\"wpforms[fields][4][]\" value=\"Deli\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_3\">Deli<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_4\" name=\"wpforms[fields][4][]\" value=\"Stocker\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_4\">Stocker<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_6\" name=\"wpforms[fields][4][]\" value=\"Produce\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_6\">Produce<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_7\" name=\"wpforms[fields][4][]\" value=\"Bakery\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_7\">Bakery<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_8\" name=\"wpforms[fields][4][]\" value=\"Meat\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_8\">Meat<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_10\" name=\"wpforms[fields][4][]\" value=\"Security\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_10\">Security<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_11\" name=\"wpforms[fields][4][]\" value=\"Personal Shopper\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_11\">Personal Shopper<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_9\" name=\"wpforms[fields][4][]\" value=\"Any\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_9\">Any<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_4_5\" name=\"wpforms[fields][4][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_4_5\">Other<\/label><\/li><\/ul><div class=\"wpforms-field-description\">What position are you applying for:<\/div><\/div><div id=\"wpforms-10-field_102-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"102\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_102\">Other position<\/label><input type=\"text\" id=\"wpforms-10-field_102\" class=\"wpforms-field-medium\" name=\"wpforms[fields][102]\" ><\/div><div id=\"wpforms-10-field_3-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_3\">Length of employment desired <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-10-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"Summer\" >Summer<\/option><option value=\"Seasonal\" >Seasonal<\/option><option value=\"Less than 1 year\" >Less than 1 year<\/option><option value=\"Over 1 year\" >Over 1 year<\/option><\/select><div class=\"wpforms-field-description\">Length of employment desired<\/div><\/div><div id=\"wpforms-10-field_2-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Please check all skills and training that you have which may be important in considering you for employment: <\/label><ul id=\"wpforms-10-field_2\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Customer Service\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_1\">Customer Service<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_2\" name=\"wpforms[fields][2][]\" value=\"Cashier\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_2\">Cashier<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_3\" name=\"wpforms[fields][2][]\" value=\"Supervision\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_3\">Supervision<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_4\" name=\"wpforms[fields][2][]\" value=\"Janitorial\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_4\">Janitorial<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_5\" name=\"wpforms[fields][2][]\" value=\"Floral\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_5\">Floral<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_6\" name=\"wpforms[fields][2][]\" value=\"Deli\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_6\">Deli<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_7\" name=\"wpforms[fields][2][]\" value=\"Stock\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_7\">Stock<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_8\" name=\"wpforms[fields][2][]\" value=\"Computer\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_8\">Computer<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_9\" name=\"wpforms[fields][2][]\" value=\"Sales\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_9\">Sales<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_10\" name=\"wpforms[fields][2][]\" value=\"Meat\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_10\">Meat<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_11\" name=\"wpforms[fields][2][]\" value=\"Management\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_11\">Management<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_12\" name=\"wpforms[fields][2][]\" value=\"Bagging\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_12\">Bagging<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_13\" name=\"wpforms[fields][2][]\" value=\"Merchandising\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_13\">Merchandising<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_14\" name=\"wpforms[fields][2][]\" value=\"Produce\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_14\">Produce<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_15\" name=\"wpforms[fields][2][]\" value=\"Purchasing\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_15\">Purchasing<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_16\" name=\"wpforms[fields][2][]\" value=\"Maintenance\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_16\">Maintenance<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_2_17\" name=\"wpforms[fields][2][]\" value=\"Baking\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_2_17\">Baking<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please check all skills and training that you have which may be important in considering you for employment: <\/div><\/div><div id=\"wpforms-10-field_126-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"126\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"10\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-10-field_6-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"6\"><h3 id=\"wpforms-10-field_6\">Personal Information<\/h3><\/div><div id=\"wpforms-10-field_7-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"7\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-10-field_7\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][7][first]\" required><label for=\"wpforms-10-field_7\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-10-field_7-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][7][middle]\" ><label for=\"wpforms-10-field_7-middle\" class=\"wpforms-field-sublabel after\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-10-field_7-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][7][last]\" required><label for=\"wpforms-10-field_7-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-10-field_8-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Present Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-10-field_8\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][8][address1]\" required><label for=\"wpforms-10-field_8\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-10-field_8-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][8][city]\" required><label for=\"wpforms-10-field_8-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-10-field_8-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][8][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>Indiana<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-10-field_8-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-10-field_8-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][8][postal]\" required><label for=\"wpforms-10-field_8-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-10-field_101-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"101\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_101\">Email address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-10-field_101\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][101]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-10-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><label class=\"wpforms-field-label\">What store do you want to be considered for? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_10_1\" name=\"wpforms[fields][10][]\" value=\"Al&#039;s Franklin - Michigan City, Indiana\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_10_1\">Al&#8217;s Franklin &#8211; Michigan City, Indiana<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_10_2\" name=\"wpforms[fields][10][]\" value=\"Al&#039;s Karwick - Michigan City, Indiana\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_10_2\">Al&#8217;s Karwick &#8211; Michigan City, Indiana<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_10_3\" name=\"wpforms[fields][10][]\" value=\"Al&#039;s East - La Porte, Indiana\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_10_3\">Al&#8217;s East &#8211; La Porte, Indiana<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_10_4\" name=\"wpforms[fields][10][]\" value=\"Barney&#039;s - New Buffalo, Michigan\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_10_4\">Barney&#8217;s &#8211; New Buffalo, Michigan<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_11-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-fourth wpforms-first\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_11\">Home Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-10-field_11\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][11]\" aria-label=\"Home Phone\" required><\/div><div id=\"wpforms-10-field_13-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_13\">Wage Desired<\/label><input type=\"text\" id=\"wpforms-10-field_13\" class=\"wpforms-field-large\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-10-field_100-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"100\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_100\">Alternate Phone Number<\/label><input type=\"tel\" id=\"wpforms-10-field_100\" class=\"wpforms-field-small wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][100]\" aria-label=\"Alternate Phone Number\" ><\/div><div id=\"wpforms-10-field_24-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-first wpforms-list-2-columns\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Are you at least 18 years of age? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_24_1\" name=\"wpforms[fields][24]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_24_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_24_2\" name=\"wpforms[fields][24]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_24_2\">No<\/label><\/li><\/ul><div class=\"wpforms-field-description\">If under 18, will be required to submit a work permit. Must be at least 16.<\/div><\/div><div id=\"wpforms-10-field_25-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-half wpforms-list-2-columns\" data-field-id=\"25\"><label class=\"wpforms-field-label\">Do you have the legal right to work and to remain in the United States? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_25\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_25_1\" name=\"wpforms[fields][25]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_25_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_25_2\" name=\"wpforms[fields][25]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_25_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_18-container\" class=\"wpforms-field wpforms-field-textarea wpforms-one-half wpforms-first\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_18\">Additional Information<\/label><textarea id=\"wpforms-10-field_18\" class=\"wpforms-field-large\" name=\"wpforms[fields][18]\" ><\/textarea><\/div><div id=\"wpforms-10-field_19-container\" class=\"wpforms-field wpforms-field-textarea wpforms-one-half\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_19\">How were you referred to us?<\/label><textarea id=\"wpforms-10-field_19\" class=\"wpforms-field-large\" name=\"wpforms[fields][19]\" ><\/textarea><\/div><div id=\"wpforms-10-field_20-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Have you ever applied for a job with Al&#039;s Supermarkets or Barney&#039;s Market? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_20_1\" name=\"wpforms[fields][20]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_20_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_20_2\" name=\"wpforms[fields][20]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_20_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_22\">If yes, when\/where?<\/label><input type=\"text\" id=\"wpforms-10-field_22\" class=\"wpforms-field-large\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-10-field_21-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Were you previously employed by Al&#039;s Supermarkets or Barney&#039;s Market? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_21_1\" name=\"wpforms[fields][21]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_21_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_21_2\" name=\"wpforms[fields][21]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_21_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_23\">If yes, when\/where?<\/label><input type=\"text\" id=\"wpforms-10-field_23\" class=\"wpforms-field-large\" name=\"wpforms[fields][23]\" ><\/div><div id=\"wpforms-10-field_26-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_26\">List any relatives who work for Al&#039;s Supermarkets or Barney&#039;s Market<\/label><textarea id=\"wpforms-10-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\" ><\/textarea><\/div><div id=\"wpforms-10-field_27-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-third wpforms-first wpforms-list-2-columns\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Are you currently Employed? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_27_1\" name=\"wpforms[fields][27]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_27_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_27_2\" name=\"wpforms[fields][27]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_27_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_28-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-third wpforms-list-2-columns\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Are you a student? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_28_1\" name=\"wpforms[fields][28]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_28_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_28_2\" name=\"wpforms[fields][28]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_28_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_29-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-third wpforms-list-2-columns\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Are you on leave of absence? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_29_1\" name=\"wpforms[fields][29]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_29_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_29_2\" name=\"wpforms[fields][29]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_29_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_30-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"30\"><label class=\"wpforms-field-label\">Have you ever been discharged from a job? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_30\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_30_1\" name=\"wpforms[fields][30]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_30_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_30_2\" name=\"wpforms[fields][30]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_30_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_31-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"31\"><label class=\"wpforms-field-label\">Have you been convicted of a felony or misdemeanor, except a minor traffic violation, in the past 7 years? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_31_1\" name=\"wpforms[fields][31]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_31_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-10-field_31_2\" name=\"wpforms[fields][31]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_31_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_32-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_32\">(NOTE: A conviction will not necessarily disqualify applicant from employment.) If yes, explain.<\/label><textarea id=\"wpforms-10-field_32\" class=\"wpforms-field-medium\" name=\"wpforms[fields][32]\" ><\/textarea><\/div><div id=\"wpforms-10-field_129-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"129\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"2\" data-formid=\"10\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"10\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-10-field_33-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"33\"><h3 id=\"wpforms-10-field_33\">Availability<\/h3><\/div><div id=\"wpforms-10-field_35-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"35\"><label class=\"wpforms-field-label\">What type of employment are you seeking: (Check each classification you are willing to work.) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-10-field_35\" class=\"wpforms-field-required\" data-choice-limit=\"3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_35_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][35][]\" value=\"Full-Time\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_35_1\">Full-Time<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_35_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][35][]\" value=\"Part-Time\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_35_2\">Part-Time<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-10-field_35_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][35][]\" value=\"Temporary\/Seasonal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-10-field_35_3\">Temporary\/Seasonal<\/label><\/li><\/ul><\/div><div id=\"wpforms-10-field_36-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_36\">Date available to start <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_36\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][36][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_37-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_37\">If seasonal or temporary -last date to work<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_37\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][37][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_38-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third wpforms-first\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_38\">Number of hours you would prefer to work each week? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-10-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-10-field_39-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_39\">Maximum number of hours you can work each week? <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-10-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" required><\/div><div id=\"wpforms-10-field_41-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"41\"><div id=\"wpforms-10-field_41\">We hire people to work during hours we&#8217;re closed to the public as well as the time that we are open for business. Open availability is preferred.<\/div><\/div><div id=\"wpforms-10-field_66-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_66\">Please list any day or time availability restrictions.<\/label><textarea id=\"wpforms-10-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" ><\/textarea><\/div><div id=\"wpforms-10-field_130-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"130\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"3\" data-formid=\"10\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"10\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-10-field_85-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"85\"><h3 id=\"wpforms-10-field_85\">Work History<\/h3><\/div><div id=\"wpforms-10-field_86-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"86\"><div id=\"wpforms-10-field_86\">LIST WORK HISTORY BELOW BEGINNING WITH THE CURRENT OR MOST RECENT EMPLOYERS AND MILITARY SERVICE.<\/div><\/div><div id=\"wpforms-10-field_87-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"87\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_87\">Employer Name<\/label><input type=\"text\" id=\"wpforms-10-field_87\" class=\"wpforms-field-large\" name=\"wpforms[fields][87]\" ><\/div><div id=\"wpforms-10-field_88-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"88\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_88\">Type of work<\/label><input type=\"text\" id=\"wpforms-10-field_88\" class=\"wpforms-field-large\" name=\"wpforms[fields][88]\" ><\/div><div id=\"wpforms-10-field_89-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third\" data-field-id=\"89\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_89\">Start Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_89\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][89][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_90-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth wpforms-first\" data-field-id=\"90\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_90\">Address<\/label><input type=\"text\" id=\"wpforms-10-field_90\" class=\"wpforms-field-large\" name=\"wpforms[fields][90]\" ><\/div><div id=\"wpforms-10-field_91-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-fourth\" data-field-id=\"91\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_91\">Phone Number<\/label><input type=\"tel\" id=\"wpforms-10-field_91\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][91]\" aria-label=\"Phone Number\" ><\/div><div id=\"wpforms-10-field_92-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"92\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_92\">Supervisor<\/label><input type=\"text\" id=\"wpforms-10-field_92\" class=\"wpforms-field-large\" name=\"wpforms[fields][92]\" ><\/div><div id=\"wpforms-10-field_93-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-fourth\" data-field-id=\"93\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_93\">Date of Leaving<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_93\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][93][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_95-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"95\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_95\">City, State, Zip<\/label><input type=\"text\" id=\"wpforms-10-field_95\" class=\"wpforms-field-large\" name=\"wpforms[fields][95]\" ><\/div><div id=\"wpforms-10-field_96-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"96\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_96\">Why did you leave<\/label><input type=\"text\" id=\"wpforms-10-field_96\" class=\"wpforms-field-large\" name=\"wpforms[fields][96]\" ><\/div><div id=\"wpforms-10-field_97-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third\" data-field-id=\"97\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_97\">Pay at Leaving<\/label><input type=\"number\" id=\"wpforms-10-field_97\" class=\"wpforms-field-large\" name=\"wpforms[fields][97]\" ><\/div><div id=\"wpforms-10-field_114-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"114\"><div id=\"wpforms-10-field_114\"><hr style=\"height:2px;border-width:0;color:gray;background-color:gray\"\/><\/div><\/div><div id=\"wpforms-10-field_103-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"103\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_103\">Employer Name 2<\/label><input type=\"text\" id=\"wpforms-10-field_103\" class=\"wpforms-field-large\" name=\"wpforms[fields][103]\" ><\/div><div id=\"wpforms-10-field_104-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"104\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_104\">Type of work<\/label><input type=\"text\" id=\"wpforms-10-field_104\" class=\"wpforms-field-large\" name=\"wpforms[fields][104]\" ><\/div><div id=\"wpforms-10-field_105-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third\" data-field-id=\"105\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_105\">Start Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_105\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][105][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_107-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth wpforms-first\" data-field-id=\"107\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_107\">Address<\/label><input type=\"text\" id=\"wpforms-10-field_107\" class=\"wpforms-field-large\" name=\"wpforms[fields][107]\" ><\/div><div id=\"wpforms-10-field_108-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-fourth\" data-field-id=\"108\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_108\">Phone Number<\/label><input type=\"tel\" id=\"wpforms-10-field_108\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][108]\" aria-label=\"Phone Number\" ><\/div><div id=\"wpforms-10-field_109-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"109\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_109\">Supervisor<\/label><input type=\"text\" id=\"wpforms-10-field_109\" class=\"wpforms-field-large\" name=\"wpforms[fields][109]\" ><\/div><div id=\"wpforms-10-field_110-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-fourth\" data-field-id=\"110\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_110\">Date of Leaving<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_110\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][110][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_111-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"111\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_111\">City, State, Zip<\/label><input type=\"text\" id=\"wpforms-10-field_111\" class=\"wpforms-field-large\" name=\"wpforms[fields][111]\" ><\/div><div id=\"wpforms-10-field_112-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"112\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_112\">Why did you leave<\/label><input type=\"text\" id=\"wpforms-10-field_112\" class=\"wpforms-field-large\" name=\"wpforms[fields][112]\" ><\/div><div id=\"wpforms-10-field_113-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third\" data-field-id=\"113\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_113\">Pay at Leaving<\/label><input type=\"number\" id=\"wpforms-10-field_113\" class=\"wpforms-field-large\" name=\"wpforms[fields][113]\" ><\/div><div id=\"wpforms-10-field_115-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"115\"><div id=\"wpforms-10-field_115\"><hr style=\"height:2px;border-width:0;color:gray;background-color:gray\"\/><\/div><\/div><div id=\"wpforms-10-field_116-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"116\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_116\">Employer Name 3<\/label><input type=\"text\" id=\"wpforms-10-field_116\" class=\"wpforms-field-large\" name=\"wpforms[fields][116]\" ><\/div><div id=\"wpforms-10-field_117-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"117\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_117\">Type of work<\/label><input type=\"text\" id=\"wpforms-10-field_117\" class=\"wpforms-field-large\" name=\"wpforms[fields][117]\" ><\/div><div id=\"wpforms-10-field_118-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-third\" data-field-id=\"118\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_118\">Start Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_118\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][118][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_119-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth wpforms-first\" data-field-id=\"119\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_119\">Address<\/label><input type=\"text\" id=\"wpforms-10-field_119\" class=\"wpforms-field-large\" name=\"wpforms[fields][119]\" ><\/div><div id=\"wpforms-10-field_120-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-fourth\" data-field-id=\"120\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_120\">Phone Number<\/label><input type=\"tel\" id=\"wpforms-10-field_120\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][120]\" aria-label=\"Phone Number\" ><\/div><div id=\"wpforms-10-field_121-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"121\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_121\">Supervisor<\/label><input type=\"text\" id=\"wpforms-10-field_121\" class=\"wpforms-field-large\" name=\"wpforms[fields][121]\" ><\/div><div id=\"wpforms-10-field_122-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-fourth\" data-field-id=\"122\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_122\">Date of Leaving<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_122\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][122][date]\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_123-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"123\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_123\">City, State, Zip<\/label><input type=\"text\" id=\"wpforms-10-field_123\" class=\"wpforms-field-large\" name=\"wpforms[fields][123]\" ><\/div><div id=\"wpforms-10-field_124-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"124\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_124\">Why did you leave<\/label><input type=\"text\" id=\"wpforms-10-field_124\" class=\"wpforms-field-large\" name=\"wpforms[fields][124]\" ><\/div><div id=\"wpforms-10-field_125-container\" class=\"wpforms-field wpforms-field-number wpforms-one-third\" data-field-id=\"125\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_125\">Pay at Leaving<\/label><input type=\"number\" id=\"wpforms-10-field_125\" class=\"wpforms-field-large\" name=\"wpforms[fields][125]\" ><\/div><div id=\"wpforms-10-field_131-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"131\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"4\" data-formid=\"10\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"4\" data-formid=\"10\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-10-field_72-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"72\"><h3 id=\"wpforms-10-field_72\">Education<\/h3><\/div><div id=\"wpforms-10-field_73-container\" class=\"wpforms-field wpforms-field-html wpforms-one-third wpforms-first\" data-field-id=\"73\"><div id=\"wpforms-10-field_73\"><p style=\"font-size:12px\">LIST ALL HIGH SCHOOL, COLLEGE, UNIVERSITY OR TECHNICAL TRAINING<\/p><\/div><\/div><div id=\"wpforms-10-field_74-container\" class=\"wpforms-field wpforms-field-html wpforms-one-third\" data-field-id=\"74\"><div id=\"wpforms-10-field_74\"><p style=\"font-size:12px\">YEARS COMPLETED<\/p><\/div><\/div><div id=\"wpforms-10-field_75-container\" class=\"wpforms-field wpforms-field-html wpforms-one-third\" data-field-id=\"75\"><div id=\"wpforms-10-field_75\"><p style=\"font-size:12px\">DEGREE OR CERTIFICATE<\/p><\/div><\/div><div id=\"wpforms-10-field_76-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"76\"><input type=\"text\" id=\"wpforms-10-field_76\" class=\"wpforms-field-large\" name=\"wpforms[fields][76]\" ><\/div><div id=\"wpforms-10-field_77-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"77\"><input type=\"text\" id=\"wpforms-10-field_77\" class=\"wpforms-field-large\" name=\"wpforms[fields][77]\" ><\/div><div id=\"wpforms-10-field_81-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"81\"><input type=\"text\" id=\"wpforms-10-field_81\" class=\"wpforms-field-large\" name=\"wpforms[fields][81]\" ><\/div><div id=\"wpforms-10-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"79\"><input type=\"text\" id=\"wpforms-10-field_79\" class=\"wpforms-field-large\" name=\"wpforms[fields][79]\" ><\/div><div id=\"wpforms-10-field_80-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"80\"><input type=\"text\" id=\"wpforms-10-field_80\" class=\"wpforms-field-large\" name=\"wpforms[fields][80]\" ><\/div><div id=\"wpforms-10-field_78-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"78\"><input type=\"text\" id=\"wpforms-10-field_78\" class=\"wpforms-field-large\" name=\"wpforms[fields][78]\" ><\/div><div id=\"wpforms-10-field_82-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"82\"><input type=\"text\" id=\"wpforms-10-field_82\" class=\"wpforms-field-large\" name=\"wpforms[fields][82]\" ><\/div><div id=\"wpforms-10-field_83-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"83\"><input type=\"text\" id=\"wpforms-10-field_83\" class=\"wpforms-field-large\" name=\"wpforms[fields][83]\" ><\/div><div id=\"wpforms-10-field_84-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"84\"><input type=\"text\" id=\"wpforms-10-field_84\" class=\"wpforms-field-large\" name=\"wpforms[fields][84]\" ><\/div><div id=\"wpforms-10-field_132-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"132\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"5\" data-formid=\"10\" disabled>Previous<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"5\" data-formid=\"10\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6 last \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-10-field_67-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"67\"><h3 id=\"wpforms-10-field_67\">Important<\/h3><\/div><div id=\"wpforms-10-field_68-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"68\"><div id=\"wpforms-10-field_68\"><p style=\"font-size:16px; font-weight:bold\">This application for employment will not be considered unless fully completed.<\/p><\/div><\/div><div id=\"wpforms-10-field_69-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"69\"><div id=\"wpforms-10-field_69\"><p style=\"font-size:20px; font-weight:bold\">APPLICANT&#8217;S AGREEMENT AND CERTIFICATION.<\/p><p style=\"font-size:20px; font-weight:bold\">\r\nREAD BEFORE SIGNING<\/p><br \/>\r\n<p style=\"font-size:14px\">I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on the application shall be considered sufficient cause for dismissal. I hereby authorize all my previous employers and persons listed as personal references to furnish any information concerning my personal character, work habits or employment record, and release all such persons from liability for damages incurred as a result of furnishing such information. Lakeshore Foods is hereby authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies or bureaus of their choice.<\/p><br \/>\r\n\r\n<p style=\"font-size:14px\">I understand that I may be required to undergo screenings for substance abuse (drugs) as a condition of my employment. I also understand that any contract of employment entered into between myself and Lakeshore Foods (dba Al&#8217;s Valueland and Barney&#8217;s) shall be for an indefinite term, and said employment shall be terminable at the will of either party without cause.<\/p><br \/>\r\n\r\n<p style=\"font-size:14px\">Lakeshore Foods is an equal opportunity employer. Our policy is to consider all applicants for employment based on their qualifications and our current job vacancies. Applicants are considered without regard to race, color, religion, sex, national origin, age or disability<\/p><\/div><\/div><div id=\"wpforms-10-field_70-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_70\">Applicant&#039;s Signature <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-10-field_70\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][70]\" autocomplete=\"off\" required><div class=\"wpforms-signature-wrap wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-10-field_70-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-10-field_71-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-10-field_71\">Date <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-10-field_71\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][71][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-10-field_128-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"128\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"6\" data-formid=\"10\" disabled>Previous<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"10\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/400south.space\/index.php?rest_route=\/wp\/v2\/pages\/2\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-10\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/400south.space\/index.php?rest_route=\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/400south.space\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/400south.space\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/400south.space\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/400south.space\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2"}],"version-history":[{"count":8,"href":"https:\/\/400south.space\/index.php?rest_route=\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":100,"href":"https:\/\/400south.space\/index.php?rest_route=\/wp\/v2\/pages\/2\/revisions\/100"}],"wp:attachment":[{"href":"https:\/\/400south.space\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}