PRIME THRIFT Job Application

Click here to apply for Maryland, Virginia, Delaware and Washington D.C. stores in English.

Haga clic aquí para solicitar las tiendas de Maryland, Virginia, Delaware and Washington D.C. stores en Español.

Click here to apply for Texas and Oklahoma stores in English.

Haga clic aquí para solicitar las tiendas de Texas y Oklahoma en Español.
PRIME THRIFT Job Application

MARYLAND, VIRGINIA, DELAWARE AND WASHINGTON D.C.
Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.
Date of Application*

MonthDayYear
Date
Position (s) applying for:*

Store ManagerAssistant ManagerRetail Sales Associate - CashierRetail Sales Associate - Cashier/Sales FloorProduction (processing of merchandise)Retail Sales Associate - FurnitureTrucking Department - DriverTrucking Department - HelperOther
How did you hear about us?*

AdvertisementFriendRelativeWalk-inEmployment AgencyOther
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
Are you of legal age to work in the United States?*

YesNo
Have you filed an application here before?*

YesNo
Are you employed now?*

YesNo
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status may be required upon employment).*

YesNo
On what date would you be available for work?*

MonthDayYear
Date
Are you available to work?*

Full-timePart-time ShiftShift WorkWork Temporary
Are you on a lay-off subject to recall?*

YesNo
Can you travel if a job requires it?*

YesNo
Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify applicant from employment).*
Employment Experience
You have two options for submitting your employment experience:
OPTION 1 - Upload your resume (Word or PDF)

Browse Files

Cancelof
OPTION 2 - Complete the information below.

Start with your present or last job. Include military service assignments and volunteer activities. Exclude organizations names which indicate race, color, religion, sex or national origin.
1. EMPLOYER
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Supervisor
Reason for Leaving
Dates Employed
Hourly Rate or Salary - Starting
Hourly Rate or Salary - Final
Work Performed
2. EMPLOYER
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Supervisor
Reason for Leaving
Dates Employed
Hourly Rate or Salary - Starting
Hourly Rate or Salary - Final
Work Performed
3. EMPLOYER
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Supervisor
Reason for Leaving
Dates Employed
Hourly Rate or Salary - Starting
Hourly Rate or Salary - Final
Work Performed
4. EMPLOYER
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Supervisor
Reason for Leaving
Dates Employed
Hourly Rate or Salary - Starting
Hourly Rate or Salary - Final
Work Performed
Special Skills Qualification - Summarize special skills and qualifications acquired from employment or other experience.
Education
HIGH SCHOOL NAME
Years completed

9101112
Diploma?

YesNo
Describe Specialized Training, Apprenticeship, Skills and Extra Curricular Activities.
COLLEGE OR UNIVERSITY NAME
Years Completed

1234
Degree

YesNo
Describe Course of Study.
Describe Specialized Training, Apprenticeship, Skills and Extra Curricular Activities.
GRADUATE OR PROFESSIONAL SCHOOL
Years Completed

1234
Degree

YesNo
Describe Course of Study.
Describe Specialized Training, Apprenticeship, Skills and Extra Curricular Activities.
Honors received:
State any additional information you feel might be helpful to us in considering your application.
Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment.

In the event of employment, I understand that false or misleading information given in my application or interview (s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. I understand if hired a probationary period of 90 days is company policy. I understand that an employee handbook will be given to me to read and a copy will be given to me for my own reference.
Signature of Applicant (Use your mouse or finger to sign your name).*

Clear
Date*

MonthDayYear
Date
Applicant's Data Record
Applicants are considered for all positions, and employees are treated during employment without regard to race, color religion, sex, national origin, age, martial or veteran status, medical condition or handicap.

As employers/government contractors, we comply with government regulations and affirmative action responsibilities.

Solely to help us comply with government record keeping, reporting and other legal requirements, please fill out the applicant data record. We appreciate your cooperation.

This data is for periodic government reporting and will be kept in a confidential file separate from the application for employment.
Date

MonthDayYear
Date
Position (s) applying for:
Referral Service:

AdvertisementFriendRelativeWalk-inEmployment AgencyOther
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Affirmative Action Survey
Government agencies require periodic reports on the sex, ethnicity, handicapped and veteran status of applicants. This data is for analysis and affirmative action only.

Submission of information is voluntary.
Check One:

FemaleMale
Race/Ethnic Group: Select one of the following.

WhiteBlackHispanicAmerican Indian/Alaskan NativeAsian/Pacific Islander
Check any of the following that are applicable.

Vietnam Era VeteranDisabled VeteranHandicapped Individual
Special Employment Notice to Disabled Veterans, Vietnam Era Veterans, and Individuals with Physical Or Mental Handicaps. Government contractors are subject to 38 USC 2012 of the Vietnam Era Veterans Readjustments Act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified handicapped individuals.

If you are a disabled veteran, or have a physical or mental handicap, you are invited to volunteer this information. The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job to the best of your ability in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jepordize or adver sley affect your consideration for employment.
If you wish to be identified, please check any of the following that are applicable and sign below.

Vietnam Era VeteranDisabled VeteranHandicapped Individual
Signature of Applicant (Use your mouse or finger to sign your name).

Clear
Veteran of the U.S. Military service?

YesNo
If yes, which branch?

ArmyMarine CorpsNavyAir ForceCoast GuardNational GuardOther

Indicate if you speak, read and/or write Spanish.

	Fluent	Good	Fair
Speak
Read
Write

List professional, trade, business or civic activities and offices held. (You may exclude those which indicate race, color, religion, sex, or national origin):
Give name, address and telephone number of three references who are not related to you and are not previous employers.
“UNDER CURRENT LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANT FOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT TO SUBMIT TO OR TAKE A POLYGRAPH, LIE DETECTOR OR SIMILAR TEST OR EXAMINATION AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. ANY EMPLOYER WHO VIOLATES THIS PROVISION IS GUILY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO EXCEED $100.”
Signature of Applicant (Use your mouse or finger to sign your name).

Clear
Date

MonthDayYear
Date
As a condition of my employment, I assume responsibility for:

As a cashier: any and all monies in my cash register.

As a store employee: any damage done to company property by me in a negligent or willful way.

As a truck driver: any damages done to a truck assigned to me due to my negligence.

As a manger/supervisor: any cash shortages in funds that I am Directly responsible for.

If any of the above occurs, then the company has the right to deduct the cost of same from my pay.
Signature of Applicant (Use your mouse or finger to sign your name).*

Clear
Date*

MonthDayYear
Date
Affirmative Action Survey
As part of the hiring process, the Employer reserves the right to check business and personal references. In addition to contacting the persons you submitted as references, we may also contact other business associates, friends or acquaintances. AIl references are asked a series of questions about work experience, character, personal habits, personality and educational background. In some cases we may find it necessisary to ask an outside firm, to check references.
Please read and sign under the following paragraph: I,
(state your name), , voluntarily consent to allow the Employer and any of their officers, employees, or agents to check my references by contacting any person they deem to be an appropriate reference. I fully understand that their questions may be about my personal or educational background, work experience, character and personality. I also authorize the company to send a copy of this consent form to all persons who may request the same.
Name

First NameLast Name
Signature of Applicant (Use your mouse or finger to sign your name).

Clear
Date

MonthDayYear
Date
Store
Hiring Authority
Telephone References Form
Name

First NameLast Name
Position Applied For
Store
REFERENCE
Name

First NameLast Name
Phone Number

Area CodePhone Number
Number of years known
Relationship to reference
Comments (FOR OFFICE USE ONLY)
THIS SECTION FOR OFFICE USE ONLY

Completed by ________________________________________

Date ____________________

Store _______________________________________________
Research Services Corporation Information

An Affiliate of APG, Inc., 800-274-8582, 410-290-7060, 9841 Broken Land Parkway, Suite 212, Columbia, Maryland, 21046
In order for the Employer to receive appropriate job credits as a result of your potential employment, please respond to the following questions.
Are you a U.S. Veteran?*

YesNo
1. Without advising your age:*

I am between the age of 16-25.I am NOT between the age of 16-25
2. Have you or any member of your household received Aid to Families with Dependent Children (AFDC) welfare or food stamps anytime in the past year?*

YesNo
3. Have you received any help from the state or veteran approved vocational rehabilitation agency?*

YesNo
Signature of Applicant (Use your mouse or finger to sign your name).*

Clear
Date*

MonthDayYear
Date
Signature of Applicant (Use your mouse or finger to sign your name).*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Employment Experience

Education

Applicant's Statement

Applicant's Data Record

Affirmative Action Survey

Affirmative Action Survey

Telephone References Form

Research Services Corporation Information