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Job Title:

Grocery Clerk

Division: Retail

Store Number: 988

3705 25th Street
Moline, IL 61265

(309) 797-1468

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I certify I have read and fully completed both sides of this application and the information contained herein is correct to the best of my knowledge. I understand any omission or false informations is grounds for termination of employment. I further understand my employment may be contigent upon successful completion of a background check. During the application process and any time throughout my employment, I authorize Fareway Stores, Inc. to obtain information concerning my previous employment (unless otherwise indicated above) and all other pertinent information, personal or otherwise.

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