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Please fill out the form below to apply for a position at the store located in San Dimas, CA.

Federal and/or State legislation prohibits discrimination in employment because of race, color, religion, sex, national origin, citizenship status, ancestry, age, marital status, veteran status and disability/handicaps.

*All questions must be answered
Personal Information
Postion Applied For:
Date:
First Name:
Middle Name:
Last Name:
Email Address:
Address
Number:
Street:
Apartment Number:
City:
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Zip Code:
Phone Number:
Emergency Contact Person:
Are you authorized to work in the United States:
Yes     No
Have you been convicted of a felony:
Yes     No
If yes, give specifics:
Do you have a reliable means of transportation:
Yes     No
Are you age 18 or older:
Yes     No Note: If under 18, proof of age and work papers must be provided.
Position Applied For:
Alternate Choice:
Hours Avaliable From:
Hours Avaliable Until:
Days Available:
Sun     Mon     Tue     Wed     Thu     Fri     Sat
Available:
Full Time     Part Time

Education
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Employment History
Employed From:
Employed To:
Company Name:
Company Phone Number:
Companies Complete Address:
Starting Position:
Salary:
Final Position:
Salary:
Name of Supervisor:
Reason for Leaving:
List Main Duties Performed:
Employed From:
Employed To:
Company Name:
Company Phone Number:
Companies Complete Address:
Starting Position:
Salary:
Final Position:
Salary:
Name of Supervisor:
Reason for Leaving:
List Main Duties Performed:
Have you ever been suspended or discharged from employment:
Yes     No

If yes, please explain:

Please read carefully

I certify that all of the answers and information given by me in this application are true, accurate and complete without qualification. If I am hired, I understand that if the Company, at any time determines that any of the requested information was withheld by me, or any of the statements furnished above were false, inaccurate or misleading, I may be subject to immediate dismissal once the facts become known. I authorize verification of all information provided by me in this application. I release any employer from any obligation to provide me with written notification of any information disclosed. I understand that this may include a record of disciplinary action assessed by the employer. I recognize that this application is not an offer for a contract of employment.


Our store is located at
867 West Arrow Highway
San Dimas, CA 91773
(p) (909) 394-7338

Store Hours:
Mon:  9:30 am to 6:00 pm
Tue:  9:30 am to 6:00 pm
Wed:  9:30 am to 6:00 pm
Thu:  9:30 am to 6:00 pm
Fri:  9:30 am to 6:00 pm
Sat:  9:30 am to 6:00 pm
Sun:  11:00 am to 5:00 pm
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