APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION
*PLEASE READ CAREFULLY BEFORE SIGNING*
I hereby certify that all of the information provided by me in this application (or any other accompanying or required
documents) is correct, accurate and complete to the best of my knowledge. No requested information has been concealed.
I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of
employment or immediate termination of employment regardless of the timing or circumstances of discovery.
I understand that submission of an application does not guarantee employment. I further understand that, should an offer
of employment be extended by Piggly Wiggly that such employment with Piggly Wiggly is at will, for no specified duration
and may be terminated by either Piggly Wiggly or myself at any time, with or without cause or notice. I understand that
none of the documents, policies, procedures, actions, statements of Piggly Wiggly or its representatives used during the
employment process is deemed a contract of employment real or implied. I understand that no representative of Piggly
Wiggly except the President has the authority to enter into any agreement guaranteeing any conditions of employment or
any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by
the President of Piggly Wiggly.
In consideration for employment with Piggly Wiggly, if employed, I agree to conform to the rules, regulations, policies and
procedures of Piggly Wiggly at all times and understand that such obedience is a condition of employment. I understand
that due to the nature of Piggly Wiggly business, attendance and punctuality are considered essential requirements of every
job at Piggly Wiggly and that poor attendance or tardiness will result in disciplinary action.
I understand that if offered a position with Piggly Wiggly, I will be required to submit to a pre-employment, drug screening
and background verifications as a condition of employment. I understand that unsatisfactory results from, refusal to
cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of
any employment offer or termination of employment if already employed.
I hereby authorize any and all schools, former employers, references, courts and any others who have information about
me to provide such information to Piggly Wiggly and/or any of its representatives, agents or vendors and I release all
parties involved from any and all liability for any and all damage that may result from providing such information.
I understand that this application is considered current for sixty (60) days. If I wish to be considered for employment after
this period, I must fill out and submit a new application.