Form 8850 - Big Lots Employment Application printable pdf download

BIG LOTS

EMPLOYMENT APPLICATION

This application is considered active for ninety (90) days.

DRUG-FREE WORKPLACE

All employees are subject to drug and alcohol testing

PERSONAL DATA

procedures permitted under federal and state law.

WOTC Registration #

Please complete in ink.

Name (Last, First, Middle)

Contact Phone Number

Street Address

Social Security Number

City

State

Zip

E-mail Address

Position(s) interested in?

Salary Requirements

Are you under the age of 18?

Yes

Hour/Year

(Circle One)

If yes, state your age.

Have you ever worked for any Odd Lots, Big Lots, Mac Frugal’s, Pic ‘N’ Save, All For One, ITZADEAL, Toy Liquidators, Toys Unlimited, Amazing Toy Stores,

K•B Toys, K•B Toy Outlet, K•B Toy Works or other Big Lots locations before?

Yes

If yes, when and where?

If hired, can you supply proof that you are legally entitled to work in the United States for any employer?

Yes

Do you have friends or relatives working for us?

Yes

If so, who?

Can you work:

Anytime

Days

Evenings

Weekends

Are there any times or days you cannot work?

Have you ever been convicted of a felony, a violent crime, or retail related crime (i.e., shoplifting, credit card fraud, robbery, theft, burglary)?

Yes

Note: A “yes” response will not automatically disqualify you from employment, but will be considered as part of your overall job-related qualifications for

employment. You do not need to disclose any information regarding arrests or any criminal charges and/ or convictions that have been erased, annulled, sealed

and/or expunged from your record.

If yes, please describe:

EDUCATION

Last Year

Did You Earn a

Type of School

Name of School

Location of School

Area of Study

Completed

Degree or Diploma?

High School