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EMPLOYMENT APPLICATION
FIRST NAME: *REQUIRED
LAST NAME: *REQUIRED
STREET ADDRESS: *REQUIRED
CITY/STATE/ZIP: *REQUIRED
CONTACT PHONE: *REQUIRED
CONTACT EMAIL: *REQUIRED
PERSONAL INFORMATION
DO YOU UNDERSTAND THAT HOURS AND LOCATIONS ARE NOT FIXED AND CAN VARY?
YES NO
HAVE YOU PREVIOUSLY BEEN EMPLOYED BY DRIVELINE?
YES NO
WHEN ARE YOU ABLE TO START WORK(MM/DD/YYYY)?
WHAT IS THE BEST TIME TO REACH YOU?
ARE YOU OVER 18 YEARS OF AGE?
YES NO
ARE YOU A US CITIZEN OR CAN YOU PROVIDE EVIDENCE OF YOUR LEGAL RIGHT TO WORK IN THE US?
YES NO
HAVE YOU EVER BEEN CONVICTED OF A FELONY?
YES NO
REFERRED BY
WORK REQUIREMENTS
ARE YOU CAPABLE OF LIFTING UP TO 25 POUNDS?
YES NO
ARE YOU WILLING TO LIFT UP TO 25 POUNDS?
YES NO
ARE YOU ABLE TO STAND, BEND AND STOOP FOR LONG PERIODS OF TIME?
YES NO
DO YOU HAVE RELIABLE TRANSPORTATION?
YES NO
DO YOU HAVE ACCESS TO A DIGITAL CAMERA AND CAN ELECTRONICALLY TRANSMIT PHOTOS?
YES NO
DO YOU HAVE ACCESS TO A COMPUTER AND PRINTER WITH INTERNET CAPABILITY?
YES NO
ARE YOU CAPABLE OF CLIMBING AND WORKING FROM STORE LADDER?
YES NO
ARE YOU WILLING TO TRAVEL WITHIN 40 MILE RADIUS OF YOUR HOME TO WORK RETAIL STORES?
YES NO
CAN YOU READ AND EXECUTE STANDARD RETAIL PLANOGRAMS?
YES NO
HOW MANY YEARS OF MERCHANDISING EXPERIENCE:
CAN YOU UTILIZE HANDTOOLS FOR FIXTURE ASSEMBLY/INSTALLATION?
YES NO
CAN YOU UTILIZE SMALL POWER TOOLS FOR FIXTURE ASSEMBLY/INSTALLATION?
YES NO
PRIOR RETAIL WORK EXPERIENCE - INDICATE RETAIL CHANNELS IN WHICH YOU HAVE WORKED (CHECK ALL THAT APPLY):
DRUG STORES (CVS, WALGREENS)
HOME CENTER STORES (LOWES, HOME DEPOT)
DOLLAR STORES (DOLLAR GENERAL, FAMILY DOLLAR, DOLLAR TREE)
MASS STORES (WALMART, SAMS, TARGET)
GROCERY STORES (KROGER, SUPERVALU, SAFEWAY)
CONVENIENCE STORES (7-11, CIRCLE K, QUIKSTOP)
OTHER
WORK SCHEDULE
CAN YOU WORK ON A MONDAY?
YES NO
CAN YOU WORK ON A TUESDAY?
YES NO
CAN YOU WORK ON A WEDNESDAY?
YES NO
CAN YOU WORK ON A THURSDAY?
YES NO
CAN YOU WORK ON A FRIDAY?
YES NO
CAN YOU WORK ON A SATURDAY?
YES NO
CAN YOU WORK ON A SUNDAY?
YES NO
CAN YOU WORK DURING THE DAY
YES NO
CAN YOU WORK WEEKENDS?
YES NO
CAN YOU WORK DURING THE NIGHT?
YES NO
WHAT IS THE EARLIEST TIME YOU CAN START EACH DAY?
HOW MANY HOURS PER WEEK ARE YOU AVAILABLE?
COMMENTS
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APPLICATION DISCLAIMER
APPLICATION DISCLAIMER: IN SUBMITTING THIS APPLICATION, I UNDERSTAND THAT I WILL BE CONSIDERED FOR EMPLOYMENT AS OPPORTUNITIES BECOME AVAILABLE IN YOUR GEOGRAPHIC REGION. I ALSO UNDERSTAND THAT OMITTING REQUIRED INFORMATION OR FALSE STATEMENTS MAY DISQUALIFY ME FOR EMPLOYMENT OR BE CAUSE FOR MY SUBSEQUENT DISMISSAL IF I BECOME AND EMPLOYEE. I UNDERSTAND THAT ANY OFFER OF EMPLOYMENT MAY BE CONTINGENT UPON SUCCESSFUL COMPLETION OF A CRIMINAL BACKGROUND INQUIRY AND PRE-EMPLOYMENT DRUG TEST. ADDITIONALLY I UNDERSTAND THAT NOTHING IN THIS APPLICATION OR IN GRANTING AN INTERVIEW IS INTENDED TO CREATE ANY EMPLOYMENT CONTRACT BETWEEN THE COMPANY.
PLEASE ENTER THE LAST 4 DIGITS OF YOUR SSN IN THIS BOX TO VERIFY THE INFORMATION YOU HAVE COMPLETED AND ACKNOWLEDGE THE APPLICATION DISCLAIMER: