Dollar General Application Form For Employment
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1
2To apply for a store position fillout the forms below and return the completed application to the store in which you are applying. SPECIAL NOTE: The data that you type in cannot be saved. Please print your completed form.
Application for Employment
Date
L
ocation/Store Number
a few of the
• Vacation (full-time employees)
Dollar General strives to maintain
great benefits
• Cash bonus for eligible positions
a safe and drug free environment
FOR HIRING MANAGER USE ONLY
Dollar General
• 401(k) Savings and Retirement Plan
by conducting background
:
Assessments
offers employees...
• Health insurance for all employees
Meets Standards
checks and drug tests
Does Not Meet Standards
Complete all areas of the application in black ink.
(as permitted by law).
An incomplete or inaccurate application may delay consideration for employment.
PERSONAL INFORMATION
Full name: ______________________________________________________ Social Security Number: X X X – X X – ___ ___ ___ ___
Print name as it appears on your Social Security card
Present address: ________________________________________________________________________________________________
Street
City
State
Zip code
Primary phone: _________________________________________ Alternate phone: _________________________________________
When is the best time to call? _____________________________ _ Preferred phone:
Primary
Alternate
Email address: __________________________________________ Are you 18 years of age or older?
Yes
No
You must be at least 18 years of age to work for Dollar General unless otherwise required by law.
GENERAL
Do you have any relatives employed by Dollar General?
Yes
No
If yes, please list name(s) and where they work: _______________________________________________________________________
Are you legally authorized to work in the United States and able to demonstrate this by providing appropriate documentation?
Yes
No
Will you now or in the future require sponsorship for employment visa status?
Yes
No
Have you ever been convicted of a crime (other than a minor traffic violation)?
Yes
No
(Illinois applicants: You are not obligated to disclose sealed or expunged records.)
If yes, please explain: _____________________________________________________________________________________________
Candidates who select yes are not automatically disqualified from consideration for employment.
How did you find out about employment opportunities at this location?
Website
In-Store Signage
Newspaper
Employee Walk-In
Agency
Career Fair
College Recruiting
Relative
Employee Referral (Name) ______________________________________
Other (specify) __________________________________________
EMPLOYMENT
Have you ever worked for Dollar General?
Yes
No If yes, where: __________________________________________________
When: ___________ Under what name: _______________________ Reason for leaving: ____________________________________
Position(s) desired:
Pay Expected:
When will you be available to begin work? ____________________ Will you have a reliable means of transportation?
Yes
No
How many hours per week would you expect to work? __________ Are you available to work:
Part-time
Full-time
When are you available to work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
From
To
Many of our stores are open for business on holidays, weekends, and special events. While we attempt to reasonably
accommodate the personal needs of our employees
(including sincerely held religious beliefs), ultimately the work schedules are based on business needs and may be subject to change on a weekly basis.
Do you have experience working in a distribution center or warehouse?
Yes
No
Do you have experience working in a retail store?
Yes
No
If applying at a store location, why do you want to work in a sales oriented environment? _____________________________________
______________________________________________________________________________________________________________
What customer service experience do you have? ______________________________________________________________________
EDUCATION
Course of Study Circle number of
Did you
Degree or
School
Name and Location of School
years completed
graduate?
Diploma
High School
1
2
3
4
Yes
No
Vocational or
1
2
3
4
Yes
No
Business
College
1
2
3
4
Yes
No
Graduate
1
2
3
4
Yes
No
Specify professional designations, certifications, licenses or registrations held related to the job(s) applied for: __________________
_____________________________________________________________________________________________________________
Issued in what state? ____________________
Expiration Date: ____________________
Check area(s) in which you are skilled/licensed:
Cash Register
Calculator
Pricing Gun
Baler
Fork Lift
Stand Up Fork Lift
Electric Pallet Jack
Manual Pallet Jack
RF Scanning Unit
Food Scale/Wrapping
CDL
Computer
Software (list programs): ___________________________________________________
_____________________________________________________________________________________________________________________________
Other skills: ____________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
DG-HRIS-5010-20090914
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Parent category: Business