Today's Date

MM

DD

YYYY

Name *

First Name

Last Name

Phone *

(###)

###

####

If hired, can you provide proof of your legal right to work in the United States? *

Yes

No

Are you at least 16 years old? *

Yes

No

As part of the employment process, you will be required to submit to a drug screen, reference check and background check. Is this acceptable to you?

Yes

No

Have you been terminated from a previous employer for violating company policy or for misconduct? *

Yes

No

Do you have a High School diploma or GED? *

Yes

No

Do you have a reliable means of transportation to and from work?

Yes

No

Do you have experience working in a retail and/or customer service environment? *

Yes

No

Do you have experience working in the hardware or building supply industry? *

Yes

No

Are you willing to work a flexible schedule that may include some evenings, weekends and holidays, excluding any time off that you are entitled to under law? *

Yes

No

Do you have retail sales experience? *

Yes

No

Do you have experience setting and revising merchandise presentations? *

Yes

No

Are you willing to work in a position where you are responsible for achieving daily and weekly sales and performance goals? *

Yes

No

This position will involve stocking, maintaining and selling merchandise within an assigned sales department. This may include mixing paint, cutting glass, pipe and keys. Is this acceptable to you?

Yes

No

Are you willing to assist in maintaining the store appearance by cleaning, straightening and stocking merchandise, while also servicing customers? *

Yes

No

Do you have training and/or business experience using a personal computer? *

Yes

No

Is having challenging work goals more stressful than motivating to you? *

Yes

No

Do you feel you can be still successful without setting goals? *

Yes

No

Do you prefer to be told what to do rather than take the initiative yourself? *

Yes

No

Do you set daily work goals for yourself? *

Yes

No

Do you have very defined long-term goals? *

Yes

No

Do you enjoy trying to meet goals set by someone other than yourself? *

Yes

No

Do you enjoy working with others more than working alone? *

Yes

No

Are there certain types of people at work that you do not get along with? *

Yes

No

Is it OK to stop what you are doing to help a co-worker? *

Yes

No

Does it bother you to ask for help when you need it at work? *

Yes

No

Is it OK to argue with a customer if you are sure they are wrong? *

Yes

No

Are there times when your work is more important than helping the customer? *

Yes

No

Does dealing with customers sometimes get in the way of getting a job done? *

Yes

No

Are you comfortable working independently, without direct supervision? *

Yes

No

Can an employee’s personal appearance make an impression on a customer? *

Yes

No

Do you need to be upbeat at work even when you’re having a bad day? *

Yes

No

Do you think it’s OK to be absent from work from time to time? *

Yes

No

Do you feel more comfortable working with close supervision? *

Yes

No

Have you ever called in sick just to get a day off? *

Yes

No

Can you handle the stress that comes with a lot of responsibility? *

Yes

No

Are there times when it is acceptable to bend company rules? *

Yes

No

Should a good employee who steals less than $5 be given a second chance? *

Yes

No

Are you uncomfortable being responsible for money and valuable merchandise? *

Yes

No

Can managers sometimes break company rules? *

Yes

No

Is unauthorized discounting merchandise at the register the same as stealing? *

Yes

No

Should someone be fired for stealing something that is worth only $1? *

Yes

No

If you witnessed a co-worker stealing something would you tell a manager? *

Yes

NO

Are you able to understand, read and write the English language? *

Yes

No

Are you able to understand and use addition, subtraction, multiplication, division, fractions, decimals etc.? *

Yes

No

Are you able to use a calculator? *

Yes

No

Are you able to be on your feet for your entire shift, up to 8 hrs? *

Yes

No

Are you able to occasionally lift and carry up to 50lbs? *

Yes

No

Are you able to understand and follow directions, written or verbal? *

Yes

No

Are you able to read, understand and effectively use measuring devices? *

Yes

No

Are you able to learn new processes and procedures? *

Yes

No

You will be responsible to take note of your work schedule and take responsibility for scheduled hours as posted. Is this acceptable to you? *

Yes

No

You will be required to report for work at least 5 minutes prior to your scheduled shift. Is this acceptable to you? *

Yes

No