2 3 4 Yes No Vocational or 1 2 3 4 Yes No Business College 1 2 3 4 Yes No Graduate 1 2 3 4 Yes No Specify professional designations, certifications, licenses or registrations held related to the job(s) applied for: __________________ _____________________________________________________________________________________________________________ Issued in what state? ____________________ Expiration Date: ____________________ Check area(s) in which you are skilled/licensed: Cash Register Calculator Pricing Gun Baler Fork Lift Stand Up Fork Lift Electric Pallet Jack Manual Pallet Jack RF Scanning Unit Food Scale/Wrapping CDL Computer Software (list programs): ___________________________________________________ _____________________________________________________________________________________________________________________________ Other skills: ____________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ www.dollargeneral.com DG-HRIS-5010-20090914 Dollar General is a leading retailer with over 8,000 stores and distribution Full Name centers across the United States with a focus on Serving Others... Location/Store Number I certify that all information provided by me is true, accurate and complete. I understand that falsification, misrepresentation or omission of fact on this application or any other accompanying or required documents will be cause for denial of employment or immediate termination of employment, regardless of how or when it is discovered. I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information, and I also release the employer from all liability that might result from conducting an investigation. I understand that this application will remain active for a 90 day period. After that time, if I desire further consideration, I will complete a new application in person or by mail.
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