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Personal Information

Position applied for:
Store Location:
Date:
Name:
Telephone No.:
Address:
Are you willing to work less than 40 hours?
Yes No
Days and hours you are not available to work:
Date available to start working if hired:
Are you willing to relocate? Yes
No
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 driver’s license?
Are you 18 or older? Yes
No
Have you ever been convicted of a felony or misdemeanor?
Yes No
If yes,please describe in detail:

Record of Education

High School:
Highest grade successfully completed:
Did you graduate?
Trade, business, correspondence school:
No. of years completed:
Area of study:
College:
Did you graduate?
No. of years completed:
Major:
Minor:
Degree:
List any honors, activites, special training, or skills you have received:

History of Employment

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.

1.

Company name:
Address:
Telephone No.:
Job title and type of work:
Name of supervisor:
Dates employed:
Reason for leaving:

2.

Company name:
Address:
Telephone No.:
Job title and type of work:
Name of supervisor:
Dates employed:
Reason for leaving:

3.

Company name:
Address:
Telephone No.:
Job title and type of work:
Name of supervisor:
Dates employed:
Reason for leaving:
Please list the names of two personal contacts no related to you, whom you have known at least one year.

1.

Name:
Telephone Number:
Address:
Years acquainted:

2.

Name:
Telephone Number:
Address:
Years acquainted:

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.

A signature is not required when submitting online. Upon your interview we will ask you to sign the application.

Date:
SIGNATURE OF APPLICANT:
STORE MANAGER’S SIGNATURE OR COMPTROLLER’S SIGNATURE:
Interviewed by:
Date interviewed:
Date hired:
Position: