Application For EmploymentPlease enable JavaScript in your browser to complete this form. - Step 1 of 5Date *Name *FirstMiddleLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Market location? *Choose....AvenueBroadwayCross StreetHollinsNortheastAll locationsPosition Applied For: *Date Available *Full/Part *Full TimePart TimeAre you at least 18 years old? *YesNoHave you been fully vaccinated for COVID-19? *YesNoFirst dose onlyDate of first dose? *Date of second dose? *Date of scheduled second dose? *Note: If hired, you may be asked to show proof of vaccination.If not, do you have a valid working permit? *YesNoAre you legally authorized to work for this company in the United States? *YesNoNote: If hired, you must promptly submit documentation of your identity and right to work in the U.S.Are there any days you are NOT available to work?SundayMondayTuesdayWednesdayThursdayFridaySaturday(Check days you are UNAVAILABLE)If applying for Full-Time, are you able to work at least 40 hours per week? *YesNoIf applying for Part-Time, are you able to work at least 30 hours per week? *YesNoHave you previously applied for employment with this facility? *YesNoIs there anything that may interfere with your ability to arrive at work on time and remain at work throughout each regularly scheduled work day? *YesNoPlease Explain:NextHigh SchoolYesNoName of High School AttendedLast Year Completed9th10th11th12thDid you Graduate?YesNoGEDYear you received GEDYear of GraduationCollegeYesNoName of SchoolLast Year CompletedLast Year Completed....1234Did You Graduate?YesNoMajor Course/Degree completedTrade/Business SchoolYesNoName of SchoolLast Year CompletedLast Year Completed....1234Did You Graduate?YesNoMajor Course/Degree completedOtherYesNoName of SchoolLast Year CompletedLast Year Completed....1234Did You Graduate?YesNoMajor Course/Degree completedNextList two people as professional references. List one person as a personal reference.Reference 1 *Choose....ProfessionalPersonalNameRelationshipAddressPhoneReference 2 *Choose....ProfessionalPersonalNameRelationshipAddressPhoneReference 3 *Choose....ProfessionalPersonalNameRelationshipAddressPhoneFor purposes of obtaining information regarding your employment, education, and background, please list any different name by which you have been known;Have you ever been discharged or asked to resign from a position? YesNoIf yes, explain:Please provide a detailed explanation of all prior disciplinary problem/actions.May we contact your present employer? YesNoIf no, explain:Has Security access authorization ever been denied? YesNoIf yes, explainPlease note any special skills, experience or other information, which relate to the job position you are applying for:NextList your work history beginning with your most recent employer. Current or Most Recent EmployerType of BusinessCurrently working here?YesNoStart DateEnd DateAddressPosition TitleName of SupervisorDescription of job dutiesReason for leavingAdd another?YesNoCurrent or Most Recent EmployerType of BusinessStart DateEnd DateAddressPosition TitleName of SupervisorDescription of job dutiesReason for leavingAdd another?YesNoCurrent or Most Recent EmployerType of BusinessStart DateEnd DateAddressPosition TitleName of SupervisorDescription of job dutiesReason for leavingAdd another?YesNoUse space below for additional employment historyNextDRUG AND ALCOHOL SCREENING POLICY FOR APPLICANTS *I AcceptIt is the policy of Baltimore Public Markets Corporation (BPMC) and Lexington Markets, Inc. (LMI) (together the “Company”), to maintain a safe, healthy and productive work environment for all of its employees; to produce quality services for its customers in an efficient manner; to maintain the integrity and security of its facilities and property; and, to perform all these functions in a fashion consistent with the interests and concerns of the communities in which it is located. Pursuant to these goals, the Company requires candidates for employment to pass a drug/alcohol screening test covering illegal substances and legal substances subject to abuse. This requires the candidate to submit a biological specimen and to sign a consent and release statement provided by the Company. Refusal will result in the candidate’s disqualification for further employment consideration. INFORMED CONSENT AND RELEASE OF LIABILITY I UNDERSTAND that according to the Drug and Alcohol Screening policy which I have read and understand, I am required to submit a sample of my urine and/or blood for chemical analysis. I understand that this analysis will be conducted by a qualified testing laboratory. THE PURPOSE of this analysis is to determine the absence or presence of drugs or alcohol. I CONSENT freely and voluntarily to the Company’s request for biological specimens. I hereby release and hold harmless the Company and its employees and agents from any liability whatsoever arising from this request and my furnishing of my specimens and the testing of my specimens. I UNDERSTAND a documented chain of specimen custody exists to ensure the identity and integrity of my specimens throughout this collection and testing process.INFORMED CONSENT AND RELEASE OF LIABILITY *I AcceptI UNDERSTAND that according to the Drug and Alcohol Screening policy which I have read and understand, I am required to submit a sample of my urine and/or blood for chemical analysis. I understand that this analysis will be conducted by a qualified testing laboratory. THE PURPOSE of this analysis is to determine the absence or presence of drugs or alcohol. I CONSENT freely and voluntarily to the Company’s request for biological specimens. I hereby release and hold harmless the Company and its employees and agents from any liability whatsoever arising from this request and my furnishing of my specimens and the testing of my specimens. I UNDERSTAND a documented chain of specimen custody exists to ensure the identity and integrity of my specimens throughout this collection and testing process.APPLICANT’S STATEMENT *I AcceptThe facts contained in this application are true and complete to the best of my knowledge and I have not withheld any fact or circumstance, which could, if disclosed, affect my application unfavorably. I understand that any false or misleading statement or any material omission in my entire application process will be grounds for rejection of my application, or, if have been hired for my immediate dismissal. I authorize investigation of all statements contained in this application, information concerning my previous employment, and any other information, personal or otherwise. I release all parties from liability for any damage that may result from furnishing information and opinions to Lexington Market Inc. or to Baltimore Public Markets Corporation (together the “Company”). I release and indemnify the Company (and its agents) against any liability that may result from making such an investigation. I agree to take drug/alcohol tests as required by the Company. I understand that if I am given an offer for employment a background investigation may be conducted at any time thereafter and that any adverse information contained that is relative to the position for which I am working may be cause for my release from further consideration; and, if I am hired the same may be cause for my termination. I also have the right to terminate my employment at any time and that the Company retains a similar right. I confirm that no promise regarding employment has been made to me and I understand that no such promise or commitment will be binding upon the Company unless it is made in writing and signed by the Executive Director of the Company.MY SIGNATURE BELOW INDICATES THAT I HAVE READ, UNDERSTAND, AND AGREE TO THE ABOVE. *FirstMiddleLast**By entering my name, I understand and agree that I am electronically signing and submitting to the above. Date *Submit