Pittsfield: (207) 487-5161
Hermon Pharmacy: (207) 848-5020

Employment Application

Applicant Information

Employment Desired


Check the days and fill in the times you are available to work.



Previous Employment

Disclaimer & Verification

I hereby grant permission for the authorities of Danforth’s Down Home Supermarket, or its agents, to investigate my references, and I release Danforth’s Down Home Supermarket and all previous employers, corporations, credit agencies, educa¬tional institutions, persons and law enforcement agencies from any and all liability resulting from such an investigation. Upon my termination from Danforth’s Down Home Supermarket, I authorize the release of information in connection with my employment. I certify that the statements made on this application are true and correct, and thereby grant Danforth’s Down Home Supermarket permission to verify the information contained herein. It is understood that any false statements made herein may be cause for cancellation of this application or, if already employed, may be cause for termination.

I understand and agree that if hired my employment is for no definite period and may be terminated at any time for any reason at the option of Danforth’s Down Home Supermarket or myself. I further understand that, if employed, no supervi¬sor, manager or representative of Danforth’s Down Home Supermarket, other than the President, has any authority to enter into or authorize any agreement, contract or guarantee of employment, whether oral or written, which is inconsistent with my or Danforth’s Down Home Supermarket’s right to terminate my employment at any time.

I understand that my employment may be contingent upon successful completion of a drug and/or alcohol screening. As may be authorized by applicable Federal and state law, I voluntarily consent that I will take a medical test for drugs and/or alcohol and do hereby authorize the release of the results of such tests to Danforth’s Down Home Supermarket. I understand that the test will be performed at Danforth’s Down Home Supermarket’s expense and waive all claims against Danforth’s Down Home Supermarket and those performing the test(s). I also understand and voluntarily consent that as a condition of continued employment, I will agree to submit to drug and alcohol testing. I hereby authorize the release of the results of such test to my employer and waive all claims against my employer and those performing the test or releasing information about the test. I understand that I may be subject to immediate termination for failing to submit to a drug or alcohol test. I further understand that a positive test will result in a decision of Danforth’s Down Home Supermarket’s offer of employment.

It is the policy of Danforth’s Down Home Supermarket to seek and employ qualified individuals in all positions, to provide equal opportunities for the advancement of associates including upgrading, promotion and training, and to administer activi¬ties in a manner which will not discriminate against any individual because of race, color, religion, sex, national origin, disability or age.