To Applicant: We are an equal opportunity employment company. We are dedicated to a policy of non-discrimination in employment on any
basis including race, color, age, sex, religion, national origin, disability or any other characteristic by law.
Lowe’s Pay and Save Inc.
1804 Hall Avenue
Littlefield, Texas 79339
Personal Information
Record of Education
History of Employment
Employment Application
Position applied for:
Store Location:
Date:
Name:
Address:
Are you willling to work less than 40 hours?
Date available to start working if hired:
List any of your relatives or family that work for the company:
Are you legally entitled to work in the United States?
Do you have a valid drivers license?
Have you ever been convicted of a felony or misdemeanor?
High School:
Highest grade successfully completed:
Trade, business, correspondence school:
No. of years completed:
Did you graduate?
Area of study:
College:
Did you graduate?
Major:
List any honors, activites, special training, or skills you have received:
Minor:
No. of years completed:
Degree:
Days and hours you are not available to work:
No
Yes
No
Yes
No
Yes
NoYes
Are you willing to relocate?
Are you 18 or older?
If yes,please describe in detail:
Last
First
Middle
Zip
StateCity
Street Number
Name
City
State
State
State
City
City
Name
Name
Telephone No.:
Have you ever worked for any divisions of our company? If Yes, please indicate below and please give the location and dates during which you were employed.
Pay and Save Inc., d/b/a Lowe's:
Please give an accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Address:
Zip
StateCity
Company name:1.
Telephone number:
Job title and type of work:
Name of supervisor
Dates employed:
From:
To:
Start rate of pay:
End rate of pay:
Reason for leaving:
Please Select
Please Select Location
Please, do not fill this application out in your internet browser.
Instead, save this to your computer and use Adobe Acrobat/Reader
or a PDF editor to fill out this application.
"Position applied for" and "Store Location" are required to select.
Company name:
Address:
Telephone Number:
Job title and type of work:
Name of supervisor:
Dates employed: From:
To:
Start rate of pay:
End rate of pay:
Reason for leaving:
City State
Zip
Company name:
Name:
Address:
Address:
Telephone Number:
Telephone Number:
Job title and type of work:
Name of supervisor:
Dates employed: From:
To:
Start rate of pay:
End rate of pay:
Reason for leaving:
City StaWH
Zip
City State
Zip
Name:
Address:
Telephone Number:
City State
Zip
2.
3.
1.
2.
Please list the names of two personal contacts no related to you, whom you have known at least one year.
Years acquainted:
Years acquainted:
Date: SIGNATURE OF APPLICANT:
May we contact your references or past employers?
If not, please indicate by number:
IMPORTANT - READ BEFORE SIGNING
I understand WKDW if employed: 1) Any misrepresentation or omission of facts requested in this application is cause for dismissal; and 2) My employment is for no
definite period and I may, regardless of the date of payment of my wages and salary, be terminated "at will" wiWKout prior notice. Lowe's and any person or entity
it may authorize, shall be entitled, without further consent, to copyright, sell or use in any manner, any picture or photograph of me. I give the Employer the right
to investigate all references and to secure additional information about me, if job related. I hereby release from liability WKH Employer and its representative for
seeking such information and all other persons, corporations, or organizations for furnishing such information. Lowe's shall have the right at any time after the
termination of employment to furnish to others information concerning my employment record, work habits, and work performance with Lowe's, including the
information contained in this application, or copies of any information which is maintained in my personnel file. I specifically release Lowe's, its officers, directors,
agents, and teammates from any and all liability regarding the release of any infoUPation described in this paragraph. This application is current for only 60 days.
At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application.
STORE MANAGER’S SIGNATURE OR COMPTROLLER’S SIGNATURE:
Interviewed by:
Date interviewed:
Position:
Date hired:
A signature is not required when submitting online. Upon your interview we will ask you to sign the application.
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