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APPLICATION FOR EMPLOYMENT

APPLICATION
ALDI Inc. is an equal opportunity employer and does not discriminate against any individual FOR
in any phase of EMPLOYMENT
employment in accordance with
the requirements of local, state and federal law. ALDI Inc. also provides reasonable accommodations to qualified individuals with disabilities
in accordance with the Americans with Disabilities Act and applicable state and local law. Please advise ALDI if you require an accommodation
in the application process.

ALDI Inc. is an equal opportunity employer and does not discriminate against any individual in any phase of employment in accordance with the requirements of
PERSONAL
local, state and federal law.
Please print all information except your signature.
PERSONAL
6/7/2017 Date:__________________________
Please print all information except your signature. Date: ______________________________________
Name__Reiner Benjamin B
________________________________________________________________________________________ (716)-440-5842
Telephone No.:____________________________________
LAST FIRST M.I.
Name________________________________________________________________________________________________ Telephone No.:____________________________________________
LAST FIRST M.I.
1300 Main Rd Corfu NY 14036
Present Address__________________________________________________________________________________________________________________________________
NO. STREET CITY STATE ZIP
Present Address _________________________________________________________________________________________________________________________________________________
NO. STREET CITY STATE ZIP
Previous Address_________________________________________________________________________________________________________________________________
Previous Address ________________________________________________________________________________________________________________________________________________
NO. STREET CITY STATE ZIP
NO. STREET CITY STATE ZIP
Indicate hours and days of availability.
Indicate hours and days of availability.
(Unavailability should be limited to reasons other than religious observances and practices
Positions
Positions applied
Any
for____________________________________
____________________________
(Unavailability should be limited to reasons other than religious observances and practices or military
applied for or militarytraining.)
training.)
Monday __________________ Friday __________________
Monday ________________________ Friday __ ______________________
Rateof
ofpay
pay expected Tuesday __________________ Saturday __________________
Rate expected$__________________________________per
12.00
$_______________ per hr. hr.
Tuesday Wednesday________________________
__________________ Saturday Sunday __ ______________________
__________________
Wednesday Thursday __________________
________________________ Sunday No preference __ __________________
______________________
Thursday ________________________ No preference __ Can work all hours
______________________
If your applicationisconsidered favorably, onwhat date will you be available forwork? _______________________________ How were you referred to ALDI for employment?

IfWere
youryou previouslyisemployed
application considered by us?_______________________If
favorably, on what date will yes,you
when?
be _____________________________ 
How  ALDI
were you referred to
Advertisement for employment?
Friend
available for work? ______________________________________________________________________________
6/15/17
If you are hired, will you have reliable transportation to ALDI’s place of work? ___________________________ 
o✔ Current Employee
Advertisement  Other o Friend
No
Were you previously employed by us? ________________ If yes, when? _____________________________
Yes o Current Employee o Other
If Are
youyou
areauthorized
hired, willtoyou
work in the
have United States?
reliable ____________________________
transportation to ALDI’s place of work? ____________________
(You will be required upon employment to submit verification of your legal right to work in the United States.)
Yes
Are you legally authorized to work in the United States?__________________________________________
(You will be required upon employment to submit verification of your legal right to work in the United States.)
Have you ever been discharged or have you resigned from a job because your employer indicated that it believed you were involved in an incident(s) relating to
Have you ever
violence, threatsbeen discharged
of violence, or haveof
possession you resigned
weapons, from a job
suspected because
theft, yourharassment
repeated employer indicated thatcustomers
of employees, it believedoryou were involved
vendors, in workplace
lewd behavior, incident(s)
possession of
relating
alcohol to
or violence, threats
illegal drugs, of violence,
or being possession
under the of alcohol
influence of weapons, suspected
or illegal theft, at
drug usage repeated harassment of employees, customers or
its workplace? vendors,
No lewd behavior,
possession of alcohol or illegal drugs, or being under the influence of alcohol or illegal drug usage at its workplace? o Yes o No

If so, please explain ______________________________________________________________________________________________________________________________________________
If__________________________________________________________________________________________________________________________________________________________________
so, please explain_________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
Usethe
Use the space
space below
belowtotosummarize
summarizeany any
additional experiences
additional or skills or
experiences that helpthat
skills qualify youqualify
help for the position
you for for
thewhich you are
position for applying.
which you Youare
may exclude any
applying. You may
activities that reflect personal characteristics protected by law (e.g., religion, race, disability, etc.)
exclude any activities that reflect personal characteristics protected by law (e.g., religion, race, disability, etc.)
Hard Working, Fast rate of learning and mastering of skills, Strong Computer Skills, Proficient in
__________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
Microsoft Office and Google Apps, Goal Oriented, Dedicated, Team Player, Reliable employee,
____________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________
and Punctual
____________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________

EDUCATION
GRADUATED YEARS GRADE POINT
NAME OF SCHOOL AND CITY YES NO COMPLETED MAJOR AVERAGE

Pembroke Jr/Sr High School, Pembroke NY Yes 2009-2013 92.4


HIGH SCHOOL

COLLEGE
SUNY Geneseo, Geneseo NY Yes 2013-2017 Mathematics 3.1/4.0
GED OR OTHER

Was also a double Musical Theatre major at Suny Geneseo


HOBBIES; INTERESTS
EMPLOYMENT
LIST YOUR LAST FOUR WORK EXPERIENCES BEGINNING WITH YOUR MOST RECENT
*For applicants in Philadelphia and Massachusetts, you are not required to provide your rate of pay and doing so is purely voluntary

EMPLOYMENT DATES REASON FOR LEAVING


NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED Show Ended
☐ Discharge
Geva Theatre Center 10/16 12/16 Studied scripts and characters, their
☐ Layoff
ADDRESS relationships to each other to develop role
75 Woodbury Boulevard *RATE OF PAY *RATE OF PAY interpretations. Collaborated with other ☐ Resignation
CITY & STATE actors as part of an ensemble. Worked
None None
Explain:_________
Rochester, NY with crew members responsible for
PHONE NUMBER
lighting, costumes, makeup, and props.
585-232-4382 POSITION POSITION
TYPE OF BUSINESS
Sing and danced during dramatic/comedic
Theatre performances. Worked with Child Actors.
NAME OF SUPERVISOR
Company Intern Company Intern
Jenny Daniels

EMPLOYMENT DATES REASON FOR LEAVING


NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED School Semester Began
☐ Discharge
Giovanna's Pizza and Pasta 05/16 08/16 Responsible for acquiring, and preparing
☐ Layoff
ADDRESS customer orders. Management of stock of
4153 Lakeville Road *RATE OF PAY *RATE OF PAY items. Cashier able to calculate quickly and ☐ Resignation
CITY & STATE accurately. Assisted in supervision and
$10.50 $11.00
Explain:_________
Geneseo, NY training of staff. Portioned and prepped
PHONE NUMBER food. Weigh, measure, and mix ingredients;
585-243-2929 POSITION POSITION skilled use of various industrial restaurant
TYPE OF BUSINESS
equipment. Other responsibility includes
Restaurant
NAME OF SUPERVISOR
Jen Pontillo
Line Cook Line Cook/Delivery management of kitchen functioning;
cleaning and safe handling of food.

EMPLOYMENT DATES REASON FOR LEAVING


NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED School Began
☐ Discharge
Johnny Bears 05/14 08/15 Responsible for daily opening and restaurant
☐ Layoff
ADDRESS preparation for service. Daily responsibilities
Broadway include acquiring, and preparing customer ☐ Resignation
*RATE OF PAY *RATE OF PAY
CITY & STATE
orders. Management of stock of items. Cashier
9.75 10.25
Explain:_________
Darien Center, NY able to calculate quickly and accurately.
PHONE NUMBER
Assisted in supervision and training of staff.
585-547-2220 Portioned and prepped food. Weigh, measure,
POSITION POSITION
and mix ingredients; skilled use of various
TYPE OF BUSINESS
industrial restaurant equipment. Other
Restaurant
NAME OF SUPERVISOR Front Counter/ Cook Cook/Front Counter responsibility includes management of kitchen
functioning; cleaning and safe handling of food.
John Phillips
EMPLOYMENT DATES REASON FOR LEAVING
NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED
☐ Discharge

☐ Layoff
ADDRESS
☐ Resignation
*RATE OF PAY *RATE OF PAY
CITY & STATE Explain:_________

PHONE NUMBER
POSITION POSITION
TYPE OF BUSINESS

NAME OF SUPERVISOR

The information contained in this application is true and complete to the best of my knowledge and belief. I understand that any false or inaccurate information or misrepresentation of fact or omission of
information requested, as stated or implied, given in my application, interview(s), or any other employment form, may be sufficient reason not to hire me and may be reason for dismissal. I understand that I will be
required to pass a pre-employment drug screen, and if hired, I will be subject to ALDI’s drug and alcohol testing policy during my employment.
I understand and agree that all information furnished in this application may be verified by ALDI Inc. or its authorized representative. I waive any right I may have to notice from any individuals and organizations
named or referred to in this application prior to the release of any employment or education information to ALDI Inc. I hereby authorize all individuals and organizations named or referred to in this application to
give ALDI Inc. all information relative to such verification and hereby release such individuals, organizations and ALDI Inc. from any and all liability for any claim or damage resulting therefrom.
I understand that, if hired, I will be required to provide documentation of both my identity and employment eligibility in the United States in accordance with the Immigration Reform and Control Act of 1986.
I understand that, if hired, my employment will be subject to various guidelines, rules and regulations of ALDI Inc. as stated in the employee handbook, any policy and procedure manual or other communications to
employees. I further understand that ALDI Inc.’s policies and procedures are subject to modification without notice.
Rhode Island applicants please note: Pursuant to Rhode Island Statute §28-29-6.2, Hub states that it is subject to the worker's compensation provisions of Rhode Island Law.
Maryland applicants please note: Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or
take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.
Massachusetts applicants, please note: "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."

I understand that ALDI Inc. is not obligated to provide employment and that I am not obligated to accept employment. Nothing in this application, or in any prior or subsequent oral or written statement, is intended
to create any contract of employment or to create any rights in the nature of a contract of employment either express or implied. This application does not bind either party for a specific period of time regarding
employment. l understand that no one other than the President of ALDI Inc. has any authority to enter into any agreement contrary to the foregoing. If hired, nothing in this application shall restrict my right as an
employee or the right of ALDI Inc. as an employer to terminate my employment at any time, with or without notice and with or without cause.
I hereby acknowledge that I have read and understand the above statement.

Signature of Applicant Date

03/06/2017

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