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WHAT'S NEW
EMPLOYMENT APPLICATION
Thank you for your interest in working with Honeoye Falls Market Place (“HFMP”). Before you complete this employment application there are a few things we’d like you to know:

This application was designed to gather specific information about individuals interested in working with HFMP. Please answer all of the questions honestly and with the appropriate information. However, please do not provide any information that is not requested on this form. Applicants providing information that is not requested will be automatically rejected and the application destroyed immediately.

An individual will be considered an applicant only after submitting a completed application for an open and available position.

Applications will be kept on file for a period of one (1) year and may be reviewed when a position becomes available – previous applicants may be contacted in order to determine their availability and interest.

HFMP is an equal opportunity employer and will not discriminate, or tolerate discrimination or retaliation against any employee or applicant based on age, race, religion, creed, color, sex, national origin, military status, sexual orientation, marital status, disability, predisposing genetic characteristics, status as a victim of domestic violence, or any other category protected by local, state, or federal law.
APPLICANT INFORMATION
Store Location:
Name:
Email:
Present Address:
Phone:
Date Available:
Desired Position:
Are you legally eligible to work in the U.S.?
Are you at least 18 years of age? (Answering no to this question will not automatically disqualify you from employment, though it will restrict you from working with certain equipment throughout the store in compliance with state and federal child labor laws.)
Are you at least 16 years of age? (Applications from minors under the age of 16 will not be accepted.)
Have you been convicted of a misdemeanor or felony, which was not dismissed, expunged, or sealed, within the past 7 years? (Answering yes to this question will not automatically disqualify you from employment.)
EDUCATION
Have you graduated from high school, or received a general education development diploma?
Did you graduate from college or other schooling?
TYPE OF
SCHOOL
NAME & LOCATION
OF SCHOOL
GRADE
COMPLETED
MAJOR AREA
OF STUDY
High School
College
Trade Or
Grad School
AVAILABILITY
Sunday:
Start:
End:
Monday:
Start:
End:
Tuesday:
Start:
End:
Wednesday:
Start:
End:
Thursday:
Start:
End:
Friday:
Start:
End:
Saturday:
Start:
End:
WORK EXPERIENCE
PREVIOUS EMPLOYMENT (begin with most recent)
Date Name, Address & Phone #
Of Employer
Salary Position Name Of
Supervisor
Reason For
Leaving
From


To
May we contact this employer?
Date Name, Address & Phone #
Of Employer
Salary Position Name Of
Supervisor
Reason For
Leaving
From


To
May we contact this employer?
Date Name, Address & Phone #
Of Employer
Salary Position Name Of
Supervisor
Reason For
Leaving
From


To
May we contact this employer?
DISCLAIMER & CERTIFICATION
DISCLOSURE OF A CRIMINAL CONVICTION – I understand that a conviction will not necessarily result in disqualification for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment, nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at-will and that either I or the employer may terminate my employment at any time with or without notice or cause as long as the employer does not discriminate based on a protected category.

I understand that no manager or representative of the company, other than the president, or an authorized designee, has any authority to enter into any agreement for employment for any specified period of time or make any agreement contrary to the foregoing either now, in the past or in the future. I further understand that such an agreement must be in writing and signed by the president for it to be binding on either myself or the company. I further understand that this statement supersedes any prior oral or written understanding and bars any future oral understanding to the contrary.

By submitting this application, I declare that the information provided by me is complete and true to the best of my knowledge. I authorize Honeoye Falls Market Place, or a party acting on behalf of Honeoye Falls Market Place, to verify their accuracy and to obtain reference information on my work performance. I hereby release Honeoye Falls Market Place, and all parties authorized to work on their behalf, from any/all liability of whatever kind and nature which, at any time, could result from obtaining, and having an employment decision based on, such information. I understand that any misrepresentation or omission on this application may preclude me from receiving an offer of employment, may result in the withdrawal of an employment offer, or may result in my discharge from employment if I am already employed at the time the misrepresentation or omission is discovered.

NEW YORK CORRECTION LAW - ARTICLE 23-A
LICENSURE AND EMPLOYMENT OF PERSONS PREVIOUSLY CONVICTED OF ONE OR MORE CRIMINAL OFFENSES1
§750. Definitions.

For the purposes of this article, the following terms shall have the following meanings:
(1) "Public agency" means the state or any local subdivision thereof, or any state or local department, agency, board or commission.
(2) "Private employer" means any person, company, corporation, labor organization, or association which employs ten or more persons.
(3) "Direct relationship" means that the nature of criminal conduct for which the person was convicted has a direct bearing on his fitness or ability to perform one or more of the duties or responsibilities necessarily related to the license, opportunity, or job in question.
(4) "License" means any certificate, license, permit, or grant of permission required by the laws of this state, its political subdivisions, or instrumentalities as a condition for the lawful practice of any occupation, employment, trade, vocation, business, or profession. Provided, however, that "license" shall not, for the purposes of this article, include any license or permit to own, possess, carry, or fire any explosive, pistol, handgun, rifle, shotgun, or other firearm.
(5) "Employment" means any occupation, vocation or employment, or any form of vocational or educational training. Provided, however, that "employment" shall not, for the purposes of this article, include membership in any law enforcement agency.


1New York Correction Law (Article 23-A), §§ 750 – 755.


§751. Applicability.
The provisions of this article shall apply to any application by any person for a license or employment at any public or private employer, who has previously been convicted of one or more criminal offenses in this state or in any other jurisdiction, and to any license or employment held by any person whose conviction of one or more criminal offenses in this state or in any other jurisdiction preceded such employment or granting of a license, except where a mandatory forfeiture, disability or bar to employment is imposed by law, and has not been removed by an executive pardon, certificate of relief from disabilities or certificate of good conduct. Nothing in this article shall be construed to affect any right an employer may have with respect to an intentional misrepresentation in connection with an application for employment made by a prospective employee or previously made by a current employee. §752. Unfair discrimination against persons previously convicted of one or more criminal offenses prohibited. No application for any license or employment, and no employment or license held by an individual, to which the provisions of this article are applicable, shall be denied or acted upon adversely by reason of the individual's having been previously convicted of one or more criminal offenses, or by reason of a finding of lack of "good moral character" when such finding is based upon the fact that the individual has previously been convicted of one or more criminal offenses, unless:
(1) There is a direct relationship between one or more of the previous criminal offenses and the specific license or employment sought or held by the individual; or
(2) The issuance or continuation of the license or the granting or continuation of the employment would involve an unreasonable risk to property or to the safety or welfare of specific individuals or the general public.
§753. Factors to be considered concerning a previous criminal conviction; presumption.
1. In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall consider the following factors:
(a) The public policy of this state, as expressed in this act, to encourage the licensure and employment of persons previously convicted of one or more criminal offenses.
(b) The specific duties and responsibilities necessarily related to the license or employment sought or held by the person.
(c) The bearing, if any, the criminal offense or offenses for which the person was previously convicted will have on his fitness or ability to perform one or more such duties or responsibilities.
(d) The time which has elapsed since the occurrence of the criminal offense or offenses.
(e) The age of the person at the time of occurrence of the criminal offense or offenses.
(f) The seriousness of the offense or offenses.
(g) Any information produced by the person, or produced on his behalf, in regard to his rehabilitation and good conduct.
(h) The legitimate interest of the public agency or private employer in protecting property, and the safety and welfare of specific individuals or the general public.
2. In making a determination pursuant to section seven hundred fifty-two of this chapter, the public agency or private employer shall also give consideration to a certificate of relief from disabilities or a certificate of good conduct issued to the applicant, which certificate shall create a presumption of rehabilitation in regard to the offense or offenses specified therein.
§754. Written statement upon denial of license or employment.
At the request of any person previously convicted of one or more criminal offenses who has been denied a license or employment, a public agency or private employer shall provide, within thirty days of a request, a written statement setting forth the reasons for such denial.
§755. Enforcement.
1. In relation to actions by public agencies, the provisions of this article shall be enforceable by a proceeding brought pursuant to article seventy-eight of the civil practice law and rules.
2. In relation to actions by private employers, the provisions of this article shall be enforceable by the division of human rights pursuant to the powers and procedures set forth in article fifteen of the executive law, and, concurrently, by the New York city commission on human rights.
I have read and agree with the above HFMP Employment Guidelines, Disclaimer and Certification requirements
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