Application For Employment

To submit your application, please complete the form below. All fields are required unless marked otherwise.

  • Step 1 of 6

    Personal Information

    Part Time Full Time  

  • Step 2 of 6
    Excluding former Employers or Relatives.

    Professional References

    Reference #1


    Reference #2


    Reference #3 (Check to use)


    Reference #4 (Check to use)


  • Step 3 of 6

    Employment History

    No Previous Employers?

    Present or Last Employer

    2nd Previous Employer

    3rd Previous Employer

    4th Previous Employer

  • Step 4 of 6

    Professional Qualifications


  • Step 5 of 6


    Elementary School



    High School or Equivalent



    College/Other #1

    College/Other #2

  • Step 6 of 6

    Emergency & Certification

    Person to be notified in case of accident or emergency

    Immigration Reform and Control Act of 1986

    I understand that if hired, I will be required to offer for examination documents proving that I am a United States citizen or an alien currently authorized to work in the United States. I also understand that my continued employment is contingent upon my providing the necessary documentation within the prescribed time frames.

    Applicant's Certification and Agreement

    I authorize investigation of my personal or employment history, and of all statements contained in this application. I authorize any former employer, person, firm, corporation, credit agency, or government agency to report any information they may have regarding me, and I release all providers of information from any liability as a result of furnishing this information. I understand that any misrepresentation or omissions in this application shall be considered cause for disqualification from further consideration for hire or for dismissal if discovered subsequent to being hired.

    I agree to conform to the rules and regulations of the Company and understand and agree that, if hired, my employment is for no definite period and may, regardless of my designated pay period or salary, be terminated at anytime, for any reason, without any previous notice, at either my or the Company's option. I also understand and agree that no employee of the Company, other than the President, has any authority to enter into any agreement for employment for a specified period, or to make any agreement or representation contrary to the provisions of this Application and Agreement.

    The information provided herein is true and accurate to the best of my knowledge. I understand that in the event of information I have provided is found to be untrue or inaccurate then this application may be rejected and/or my employment terminated.

    By clicking SUBMIT, I acknowledge that I have read, understand and agree to all of the above statements.

Choose Your Store Location


Use the search option below to locate a store near you.


Pine River Family Market

500 Front Street, Pine River, MN  56474