Employment Application
Thank you for applying to 99 Cents Only Stores, LLC!
99 Cents Only Stores, LLC is firmly committed to ensuring a safe, healthy and efficient work environment for our employees, customers and the public. The company has a pre-employment drug testing policy, and also reserves the right to require a drug test at any time during employment for reasonable suspicion. Any employee who violates the drug-free workplace policy will be subject to disciplinary action up to and including termination of employment.
PERSONAL INFORMATION (please print) |
Kindly fill out the application completely and give it to the receptionist or the |
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store manager. Incomplete applications cannot be accepted. |
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__________________ _______________ _________ |
_____ -____-______ |
(_____) ___________ ________ |
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Last Name |
First Name |
Middle Name |
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Social Security Number |
Phone Number |
Date |
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If under 18 years of age, can you provide proof of your ability to work? Yes |
No |
NA |
Are you legally eligible for employment in the US? |
Yes No |
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Have you ever been convicted of a crime other than a minor traffic violation (Please note that in answering this question, 99 Cents Only Stores, LLC does |
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not request, and you should not provide, any information concerning any arrest or detention that did not result in a conviction, any referral to |
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or participation in any diversion programs, or any conviction from two years ago or earlier for a marijuana‐related offense that did not |
Referred by: |
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involve the selling of marijuana.)? |
Yes No |
If Yes, please below. |
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___Person ___________ |
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Explain_____________________________________________________________________________________________ |
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___Newspaper________ |
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(A conviction is not an automatic bar to employment. Each case will be considered on its own merit) |
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_______________________________________ |
_____________ |
________________ |
__________ |
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_____________ |
___Walk-in___________ |
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___Other_____________ |
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Present Address |
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Apt/Unit # |
City |
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State |
Zip Code |
County |
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_______________________________________ |
_____________ |
________________ |
__________ |
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Previous Address |
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Apt/Unit # |
City |
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State |
Zip Code |
County |
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Emergency Contact Information: Name _______________________________ Relationship ___________________ Phone # (____) _____ ______
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EMPLOYMENT DESIRED (If applying for a retail hourly position, please note that availability of hours may vary and are thus not guaranteed) |
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Do you have friends/relatives working at 99 Cents Only Stores, LLC? Yes If so, who/where? _______________________ No |
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Position_________________________ Expected Wage $______per hour |
Date Available_____________ Have you ever worked for 99 Cents Only Stores, LLC? Yes No |
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Applying for: Full‐time |
Part‐time Temporary |
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If so, when______________ where___________________ |
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Sunday |
Monday |
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Tuesday |
Wednesday |
Thursday |
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Friday |
Saturday |
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Is there any reason why you would not be able to perform all of the job duties of the position you have applied for? |
Yes No |
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If Yes, please explain______________________________________________________________________________________________________________________________
EDUCATION |
Circle Last |
Did You |
Subject(s) |
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Name and Address of School |
Year Completed |
Graduate? |
Studied |
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High School |
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1 2 3 4 |
Y |
N |
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College |
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Post College |
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Trade/Business School |
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Have you ever shopped at 99 Cents Only Stores, LLC? Where? Kindly describe your experience.
______________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________
Why do you want to work for 99 Cents Only Stores, LLC?
______________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________
Describe a specific situation where you provided excellent customer service. Why was it effective?
______________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________
PREVIOUS EMPLOYMENT (Please list your last 3 employers beginning with your most recent. Please complete even if you attach a resume)
Start Date |
Salary/Hourly |
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End Date Current Employer (Name & Address) |
Starting Pay/Ending Pay |
Position |
Duties |
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Reason for Leaving |
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Salary |
Hourly |
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Starting $ ____ per hr |
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Ending $ ____ per hr |
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Supervisor’s Name ____________________________ Phone Number _____________________ |
May We Contact? Y N |
PREVIOUS EMPLOYMENT
Start Date |
Salary/Hourly |
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End Date Employer (Name & Address) |
Starting Pay/Ending Pay |
Position |
Duties |
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Reason for Leaving |
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Salary |
Hourly |
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Starting $ ____ per hr |
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Ending $ ____ per hr |
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Supervisor’s Name ____________________________ Phone Number _____________________ |
May We Contact? Y N |
PREVIOUS EMPLOYMENT
Start Date |
Salary/Hourly |
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End Date Employer (Name & Address) |
Starting Pay/Ending Pay |
Position |
Duties |
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Reason for Leaving |
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Salary |
Hourly |
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Starting $ ____ per hr |
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Ending $ ____ per hr |
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Supervisor’s Name ____________________________ Phone Number _____________________ |
May We Contact? Y N |
99 Cents Only Stores, LLC is an equal opportunity employer by both policy and practice and subscribes to federal and state laws which forbid discrimination because of race, color, religion, age, sex, national origin, marital status, disability, or any other legally protected status.
If employed by 99 Cents Only Stores, LLC, I agree to abide by its policies, rules and regulations and understand that they may be changed at any time. I understand and agree that my employment is at will and can be terminated with or without cause and with or without notice at any time, at the option of either the Company or myself. I further understand and agree that this “at will” employment relationship will remain in effect throughout my employment with 99 Cents Only Stores, LLC unless it is modified by a specific, express written employment contract which is signed by its President and myself. This employment relationship may not be modified by any oral or implied agreement.
I authorize 99 Cents Only Stores, LLC to obtain any information concerning me from previous employers, school officials, and others. I release all concerned from any liability in connection therewith. I certify that all information given on this application (including resume and other attachments) is correct to the best of my knowledge. I understand that any willful omission, falsification or misrepresentation may constitute grounds for termination. I understand this application is good for only thirty (30) days. A copy of this application will be furnished upon request.
_______________________________ |
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Signature |
Date |
For retail positions, please submit this application at nearest store location.
OFFICE USE ONLY: |
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Hire for Position of _________________ First Day of Work _____________ Pay Rate $____._____ |
Hourly / Salaried |
Full Time / Part Time |
Store/Department _____________________________ |
Permit Needed: Y N |
Signature of Interviewer ________________________ Date _____________________ |
EOE |
rev. 10/13 |