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Please fill out the form below. (*) = required
Full Name



Our Service Vision

At the North Coast Co-op we go the extra mile to give exceptional service. We greet everyone with a genuine smile, always provide a positive experience and sincerely thank every customer. We show passion for our co-op and take pride in our service.

Prior Work History
Please enter your three most recent employers
Employer One

Employer Two

Employer Three

Please describe any skills in the box below that you have in the following areas: Customer Service, Natural Foods, Cooking, Food Service, Baking, Retail Merchandising, Cashiering, Produce, Nutrition, Computers, or Cooperatives.

Please provide three references
Reference One

Reference Two

Reference Three

EEO Statement

By submitting, I authorize my present and former employers (unless otherwise indicated on this application) to release to the Co-op any information concerning my employment, including job performance. Further, I release all these parties from liability for any damage (except that resulting from misrepresentation) which might result from furnishing this information.

The information submitted by this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I understand that falsified information or significant misrepresentation or omission of facts called for may disqualify me from further consideration and may be considered justification for dismissal if discovered at a later date. I understand that, if hired, my employment is governed by the Staff Policy of the North Coast Co-op Board of Directors, is for no definite period, and may be terminated at any time during my probationary period.