Thank you for your interest in Dr. Benway’s retail outlets. Dr. Benway industries is an Equal Opportunity Employer and does not discriminate in any aspect of employment on the basis of race, color, religion, gender, gender identity, age, national origin, disability, citizenship status, sexual orientation, veteran status, marital status, ancestry, pregnancy, ethnicity, or any other legally protected status in accordance with the requirements of federal, state and local law. Dr. Benway industries maintains a drug-free workplace and therefore strictly prohibits the illegal manufacture, distribution, possession or use of drugs or controlled substances on Dr. Benway industries premises or while conducting company business. All applicants are subject to drug and background testing after receiving an initial offer of employment. Any failure or refusal to take the test at scheduled times will disqualify the applicant for employment. Dr. Benway industries will consider your completed application for 90 days.

1) At any time in the past six years, have you or any member of your family received welfare, TANF, AFDC, Dept. of Social Services, or any cash assistance?
Yes ()
No()

2) Did you or anyone in your household receive food stamps at any time in the last 15 months?
Yes()
No()

3) Have you been convicted of a felony in the last year, or have you been released from incarceration due to a felony conviction in the last year?
Yes()
No()

4) Please select your age group:
16-17()
18-24()
25-35()
35-39()
39+()

The next section is meant to gain an understanding of your psychology. Answer honestly please to the following questions/statements.

1) I often lose my patience with others.

Definitely true()
Somewhat true()
Don't Know()
Somewhat false()
Definitely false()
answer later()

2) When facing a new project you have never experienced at work, how do you typically get the work done?

Do it completely on my own()
Ask others with more experience to help me do it()
Do it on my own, but have others with more experience check it when I am done()
Ask others with more experience to show me how to do it()
I rarely work on anything new without specific instructions()
answer later()

3) You consider yourself a good worker. You have a new supervisor, Miguel. Miguel has been making rude comments about how bad you are at your job. What would you be MOST likely to do?

Keep doing a good job. Miguel will realize that you do your job well ()
Tell Miguel that his comments upset you()
Tell Miguel you do your best work when you are not being criticized()
Discuss with Miguel how to do your job better()
Talk to Miguel's supervisor about Miguel's behavior()
answer later()

4) People say I am a very reliable person.

Definitely true()
Somewhat true()
I don’t know.()
Somewhat false()
Definitely false()
answer later()

5) How would people describe your ability to adapt to new policies, procedures, or situations?

Very flexible()
More flexible than average()
Average()
Less flexible than average()
Not very flexible()
answer later()

6) How often do you get angry?

I never get angry.()
I rarely get angry.()
I sometimes get angry.()
I often get angry.()
answer later()

7) There are situations in which it is okay for an employee to take money or merchandise from an employer.

Definitely true()
Somewhat true()
Don't Know()
Somewhat false()
Definitely false()
answer later()

8) Over the past 12 months, how many times have you reminded a coworker about safety rules?

Never()
One to two()
Three to four()
Five or more
This would be my first job()
answer later()

9) You cannot blame employees for stealing if they see their managers stealing.

Definitely true()
Somewhat true()
Don't Know()
Somewhat false()
Definitely false()
answer later()

Thank you for you time and patience, your application will be reviewed. Always remember Dr. Benway cares about you!