Dollar Tree Printable Application – Fill Out and Use This PDF

DOLLAR TREE, INC.

APPLICATION FOR EMPLOYMENT

HAVE YOU APPLIED FOR EMPLOYMENT WITH US PREVIOUSLY?

MONTH & YEAR:

LOCATION:

WHAT DAYS AND HOURS ARE YOU NOT AVAILABLE FOR WORK:

SPECIAL TRAINING OR SKILLS (LANGUAGES, MACHINE OPERATION, ETC.)

SUBJECT TO VERIFICATION OF MINIMUM LEGAL AGE REQUIREMENTS

REV. 12-2015

CERTIFICATION - PLEASE READ, SIGN AND DATE

All applicants for employment are judged solely on the basis of qualification and ability without regard to age, sex, race, national origin, religion, sexual orientation, marital status, disability, veteran status or other classification protected by law.

I acknowledge that the Company follows an employment - at - will policy, such that I or the Company may terminate my employment at any time for any reason. I understand that this application is not a contract of employment. I understand that to be employed, I must be lawfully authorized to work in the United States and show the Company documentation that will prove this.

I understand and agree that my previous employers may be contacted and that I may be asked to authorize the generation of a background report. I fully consent to and understand that Dollar Tree Stores may request information from public and private sources about any of the information noted in this application.

I hereby authorize, without reservation, any financial institution, credit agency, law enforcement agency, information service bureau, school, employer or insurance company contacted by Dollar Tree Stores to furnish the information described herein at any time during the application process and/or during any employment. I release them from all liability for doing so.

I certify that all the statements herein are true and accurate and understand that any falsification or omission shall result in dismissal.

Your Signature: _________________________ Date: _________