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 Date: _________________________
Please print all information except your signature. Date: ______________________________________
Name_________________________________________________________________________________________ Telephone No.: ___________________________________
LAST FIRST M.I.
Name________________________________________________________________________________________________ Telephone No.:____________________________________________
LAST FIRST M.I.
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
(Unavailability should be limited to reasons other than religious observances and practices or military
Positions
Positions applied for____________________________________
applied for ___________________________ or militarytraining.)
training.)
Monday __________________ Friday __________________
Monday _______________________ Friday _______________________
Rateof
ofpay
pay expected Tuesday __________________ Saturday __________________
Rate expected$ $_______________
__________________________________per
per hr. hr.
Tuesday Wednesday _______________________
__________________ Saturday
Sunday _______________________
__________________
Wednesday Thursday __________________
_______________________ No preference
Sunday __________________
_______________________
Thursday _______________________ No preference _______________________
If your application is considered favorably, on what date will you be available for work? _______________________________ How were you referred to ALDI for employment?

IfWere
youryou previouslyisemployed
application consideredby us? _______________________If
favorably, on what date willyes,you
when?be _____________________________ 
How  ALDI
were you referred to
Advertisement for employment?
Friend
available for work? _____________________________________________________________________________
If you are hired, will you have reliable transportation to ALDI’s place of work? ___________________________ 
o Current Employee
Advertisement  Other o Friend
Were you previously employed by us? ________________ If yes, when? _____________________________
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.)
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.)
__________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________

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

COLLEGE

GED OR OTHER

HOBBIES; INTERESTS
 EMPLOYMENT
EMPLOYMENT
LIST YOUR LAST FOUR WORK EXPERIENCES BEGINNING WITH YOUR MOST RECENT
LIST YOUR LAST FOUR WORK EXPERIENCES BEGINNING WITH YOUR MOST RECENT
*Disclosure of salary history in any of these jurisdictions can be made on a knowing and voluntary basis: Philadelphia, Massachusetts, Delaware, and New York City.
*Disclosure of salary history in any of these jurisdictions can be made on a knowing and voluntary basis: Philadelphia, Massachusetts, Delaware, and California.
EMPLOYMENT DATES REASON FOR LEAVING
NAME OF EMPLOYER EMPLOYMENT DATES TO (MM/YY)
FROM (MM/YY) DESCRIBE DUTIES PERFORMED REASON FOR LEAVING
NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED
☐ Discharge
☐ Discharge
☐ Layoff
ADDRESS ☐ Layoff
ADDRESS
☐ Resignation
*RATE OF PAY *RATE OF PAY ☐ Resignation
CITY & STATE *RATE OF PAY *RATE OF PAY
CITY & STATE Explain:_________
Explain:_________

PHONE NUMBER
PHONE NUMBER
POSITION POSITION
TYPE OF BUSINESS POSITION POSITION
TYPE OF BUSINESS

NAME OF SUPERVISOR
NAME OF SUPERVISOR

EMPLOYMENT DATES REASON FOR LEAVING

NAME OF EMPLOYER EMPLOYMENT DATES TO (MM/YY)
FROM (MM/YY) DESCRIBE DUTIES PERFORMED REASON FOR LEAVING
NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED ☐ Discharge
☐ Discharge
☐ Layoff
ADDRESS ☐ Layoff
ADDRESS
☐ Resignation
*RATE OF PAY *RATE OF PAY ☐ Resignation
CITY & STATE *RATE OF PAY *RATE OF PAY
CITY & STATE Explain:_________
Explain:_________

PHONE NUMBER
PHONE NUMBER
POSITION POSITION
TYPE OF BUSINESS POSITION POSITION
TYPE OF BUSINESS

NAME OF SUPERVISOR
NAME OF SUPERVISOR

EMPLOYMENT DATES REASON FOR LEAVING

NAME OF EMPLOYER EMPLOYMENT DATES TO (MM/YY)
FROM (MM/YY) DESCRIBE DUTIES PERFORMED REASON FOR LEAVING
NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED ☐ Discharge
☐ Discharge
☐ Layoff
ADDRESS ☐ Layoff
ADDRESS
☐ Resignation
*RATE OF PAY *RATE OF PAY ☐ Resignation
CITY & STATE *RATE OF PAY *RATE OF PAY
CITY & STATE Explain:_________
Explain:_________

PHONE NUMBER
PHONE NUMBER
POSITION POSITION
TYPE OF BUSINESS POSITION POSITION
TYPE OF BUSINESS

NAME OF SUPERVISOR
NAME OF SUPERVISOR

EMPLOYMENT DATES REASON FOR LEAVING

NAME OF EMPLOYER EMPLOYMENT DATES TO (MM/YY)
FROM (MM/YY) DESCRIBE DUTIES PERFORMED REASON FOR LEAVING
NAME OF EMPLOYER FROM (MM/YY) TO (MM/YY) DESCRIBE DUTIES PERFORMED
☐ Discharge
☐ Discharge
☐ Layoff
ADDRESS ☐ Layoff
ADDRESS
☐ Resignation
*RATE OF PAY *RATE OF PAY ☐ Resignation
CITY & STATE *RATE OF PAY *RATE OF PAY
CITY & STATE Explain:_________
Explain:_________

PHONE NUMBER
PHONE NUMBER
POSITION POSITION
TYPE OF BUSINESS POSITION POSITION
TYPE OF BUSINESS

NAME OF SUPERVISOR
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
The information
information contained
requested, in thisor
as stated application
implied, givenis trueinand
my complete
application, to interview(s),
the best of my orknowledge and belief. I form,
any other employment understand
may bethat any false
sufficient or inaccurate
reason not to hireinformation
me and may orbe
misrepresentation of factI understand
reason for dismissal. or omission that
of I will be
information
required requested,
to pass as stated or implied,
a pre-employment drug screen,givenandin my application,
if hired, I will beinterview(s), or any
subject to ALDI’s other
drug andemployment
alcohol testingform, mayduring
policy be sufficient reason not to hire me and may be reason for dismissal. I understand that I will be
my employment.
required
I understand to pass
andaagree
pre-employment drug screen,
that all information and in
furnished if hired, I will be subject
this application may be toverified
ALDI’s drug andInc.
by ALDI alcohol
or its testing policy
authorized during my employment.
representative. I waive any right I may have to notice from any individuals and organizations
I understand
named and agree
or referred thatapplication
to in this all information
priorfurnished in thisofapplication
to the release any employmentmay beorverified by ALDI
education Inc. or itstoauthorized
information ALDI Inc. Irepresentative.
hereby authorize I waive any rightand
all individuals I may have to notice
organizations from or
named any individuals
referred to in and
this organizations
application to
named or referred to in this application prior to the release of any employment or education information to ALDI
give ALDI Inc. all information relative to such verification and hereby release such individuals, organizations and ALDI Inc. from any and all Inc. I hereby authorize allliability
individuals andclaim
for any organizations
or damagenamed or referred
resulting therefrom.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, 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
I understandI that,
employees. if hired,
further my employment
understand will be
that ALDI Inc.’s subject
policies to procedures
and various guidelines, rulestoand
are subject regulations
modification of ALDInotice.
without 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.
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
Maryland
take applicants
a lie detector pleasetest.
or similar note:
An Under
employerMaryland law, anthis
who violates employer may not
law is guilty of arequire or demand,
misdemeanor and as a condition
subject ofnot
to a fine employment,
exceedingprospective
$100. 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
Massachusetts
be applicants,
subject to criminal please
penalties andnote: "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
civil liability."
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
Itounderstand
create any that ALDIof
contract Inc. is not obligated
employment or toto provide
create anyemployment and that
rights in the nature ofIaam not obligated
contract to accepteither
of employment employment.
express orNothing
implied.inThis
this application
application,doesor innot
anybind
prioreither
or subsequent
party for aoral or written
specific periodstatement, is intended
of time regarding
to create any contract
employment. of employment
l understand that no one orother
to create
thananytherights in the
President ofnature of has
ALDI Inc. a contract of employment
any authority either
to enter into express
any or implied.
agreement Thistoapplication
contrary the foregoing.doesIfnot bindnothing
hired, either party
in thisfor a specific period
application of time
shall restrict regarding
my right as an
employment.
employee l understand
or the right of ALDI that
Inc.no
asone other thantothe
an employer President
terminate myofemployment
ALDI Inc. hasatany
anyauthority to or
time, with enter into any
without agreement
notice and withcontrary to the
or without foregoing. If hired, nothing in this application shall restrict my right as an
cause.
Iemployee or the right of
hereby acknowledge ALDI
that Inc. as
I have an and
read employer to terminate
understand my employment
the above statement. 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

Signature of Applicant Date

12/12/2017
08/01/2017