Log In | Create an Account Home Weekly Ad Coupons Recipes Core Programs Employment Locations Contact Us Employment Form Employment applications submitted here are for Harvest Foods Northwest in Washington, Idaho, Montana and Oregon only. Please submit your application online along with the desired store location, and the store will contact you. You can also print out the application, fill it out and submit it to the Harvest Foods store where you desire work. Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini (Swaziland) Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu US Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Åland Islands Country Phone Number:* Cell Phone Number: Your Email Address:* Years at Current Residence: Have you ever worked for a Harvest Foods store before: Yes No Do you currently have relative(s) employed with Harvest Foods? Yes No Are you at least 18 year old? Yes No Do you have a current health permit? Yes No Are you a US Citizen? Yes No What position are you applying for?: Store Name & Location to which you are applying: What type of position are you seeking: Part-time Full-time Seasonal Temporary Please list any relevant skills or qualifications related to the job you are applying for: Are you able to meet the attendance requirement of the position? Yes No Are you able to work more than 25 hours per week? Yes No Do you want to work less than 25 hours per week? Yes No Are there any other scheduling conditions that we should be aware of that might impact your employment?: Education: High School: List below your most recent employers, beginning with the most recent one: Recent Employer #1 May we contact employer? Yes No Company: Address: Job Title: Supervisor: Phone #: Date Started: Date Left: Reason for leaving: Recent Employer #2 May we contact employer? Yes No Company: Address: Job Title: Supervisor: Phone #: Date Started: Date Left: Reason for leaving: References (Please do not use family members): Name: Relation: Phone #: Residence (Town): Years Known: Name: Relation: Phone #: Residence (Town): Years Known: Please carefully read the section below before signing: I certify that I have read and fully completed this form and that the information contained herein is correct to the best of my knowledge. I understand that any omission or false information is grounds for dismissal. I authorize the references listed on this application to give the store any and all information concerning my previous employment and pertinent information they may have, personal and otherwise. I understand that as a part of the procedure for my employment application, an investigative consumer report may be made by the store concerning my character, general reputation, personal characteristics and mode of living. Each Harvest Foods store is an Equal Opportunity Employer. Various federal, state and local laws prohibit discrimination on account of race, color, religion, sex, age, national origin, disability or veterans status. It is this store's responsibility to comply fully with these laws, as applicable. Completing this field is required for your application to be considered. Acknowledgment* Accept I acknowledge that I am applying for employment with an independently owned and operated Harvest Foods store. By clicking the submit button, I am claiming that all above information is true to the best of my knowledge. *Formal Application at the Store May be required* Today's Date* MM slash DD slash YYYY Accessibility Copyright © 2021 SHOPtoCOOK, LLC Buffalo, NY • www.shoptocook.com • Accessibility • Privacy Policy