Employment Thank you for your interest in employment at Tersteegs! Available Positions Deli Department-Hours will vary with some nights and weekends. Shifts are 6-8 hours per shift. Apply for Employment Employment Application Form (Printable PDF) Or complete the form below to submit your application: Tersteegs Employment Application Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Are you at least 18 years of age? Yes No Position(s) Applied for: Salary Desired Are you applying for: Full Time Part Time Temporary Date available for work: Would you consider working any shift? Yes No Weekend & Holidays? Yes No On Call? Yes No Shift Preference Day Evenings Weekends How were you referred to Tersteegs?Have you ever filed an application with us before? Yes No If yes, when? Are you a U.S. Citizen or an alien legally authorized to work in the United States? Yes No How much time have you missed from work in the last two years?EducationHigh SchoolSchool Name and LocationYears CompletedDid you Graduate?Diploma / Degree Undergraduate College/UniversitySchool Name and LocationCourse of StudyYears CompletedDid you Graduate?Diploma / Degree Graduate/ProfessionalSchool Name and LocationCourse of StudyYears CompletedDid you Graduate?Diploma / Degree Other business college, other special courses (Include special military training, post graduate and nursing)Are you planning to further your education? Yes No If yes to further education, when? Employment Experience (most recent first)Employer 1Date Employed From/To Name of Employer Employer Address and Phone NumberSupervisor Title DutiesHourly Rate/Salary Reason for LeavingMay we contact this employer?YesNoIf no, please explain:Employer 2Date Employed From/To Name of Employer Employer Address and Phone NumberSupervisor Title DutiesHourly Rate/Salary Reason for LeavingMay we contact this employer?YesNoIf no, please explain:Employer 3Date Employed From/To Name of Employer Employer Address and Phone NumberSupervisor Title DutiesHourly Rate/Salary Reason for LeavingMay we contact this employer?YesNoIf no, please explain:References(List at least 3 references who are not relatives or employers)NameRelationship/TitleAddressPhone References #2NameRelationship/TitleAddressPhone References #3NameRelationship/TitleAddressPhone In consideration of this application, I authorize inquiry of any person or firm, including former employers, to fully and freely communicate information regarding my previous employment and/or education, and release t his company from liability arising therefrom. I certify that the statements contained herein are true to the best of my knowledge and belief. I understand that any false statement may be considered sufficient cause for immediate termination. Approval for Submission* By checking this box you approve the statement above. Date MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.