Employment

The Derby Village Store is an equal opportunity employer. The Derby Village Store does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, gender, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

If employed, I will notify my supervisor in writing, should my availability change.

PRIOR WORK HISTORY (LIST IN ORDER. LAST OR PRESENT EMPLOYER FIRST.) **Please account for all periods of unemployment in the last five (5) years

*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 The Derby Village that such employment with The Derby Village is at will, for no specified duration and may be terminated by either The Derby Village or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of The Derby Village or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of The Derby Village 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 The Derby Village. In consideration for employment with The Derby Village, if employed, I agree to conform to the rules, regulations, policies and procedures of The Derby Village at all times and understand that such obedience is a condition of employment. I understand that due to the nature of The Derby Village business, attendance and punctuality are considered essential requirements of every job at The Derby Village and that poor attendance or tardiness will result in disciplinary action. I understand that if offered a position with The Derby Village, 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 The Derby Village 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.