Fill in a Valid Lots Job Application Template

The Big Lots Employment Application is a crucial document for individuals seeking employment with Big Lots. This form collects personal information, employment history, and references, and remains active for ninety days. Interested applicants can take the first step toward joining the team by filling out the application below.

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The Big Lots Job Application form serves as a crucial gateway for individuals seeking employment with the company. This comprehensive form is designed to gather essential personal data, including contact information, employment history, and educational background. It requires applicants to specify the positions they are interested in and their salary expectations. Notably, the form emphasizes a drug-free workplace policy, mandating compliance with drug and alcohol testing regulations. Applicants must also confirm their eligibility to work in the United States and disclose any previous employment with Big Lots. Additionally, the form includes sections for references and inquiries about any criminal convictions, ensuring that all aspects of an applicant's background are considered. Importantly, Big Lots adheres to equal opportunity employment practices, reflecting its commitment to a diverse and inclusive workplace. Completing this form accurately and thoroughly is vital, as it directly influences the hiring process and potential employment outcomes.

Lots Job Application Example

BIG LOTS

EMPLOYMENT APPLICATION

This application is considered active for ninety (90) days.

PERSONAL DATA

Please complete in ink.

DRUG-FREE WORKPLACE

All employees are subject to drug and alcohol testing procedures permitted under federal and state law.

WOTC Registration #

Name (Last, First, Middle)

Contact Phone Number

Street Address

City

State

Zip

E-mail Address

Position(s) interested in?

Salary Requirements

Are you under the age of 18?

Yes

Hour/Year

(Circle One)

If yes, state your age.

Have you ever worked for Big Lots before?

Yes

If yes, when and where?

If hired, can you supply proof that you are legally entitled to work in the United States for any employer?

Yes

Do you have friends or relatives working for us?

Yes

If so, who?

Can you work:

Anytime

Days

Evenings

Weekends

Are there any times or days you cannot work?

Have you ever been convicted of (1) a violent crime (i.e., assault, battery, murder, etc.), (2) a retail related crime (i.e., shoplifting, credit card fraud, robbery, theft,

burglary, etc.), or (3) drug trafﬁcking/distribution?

Yes

Note: A “yes” response will not automatically disqualify you from employment, but will be considered as part of your overall job-related qualiﬁcations for

employment. You do not need to disclose any information regarding arrests or any criminal charges and/or convictions that have been erased, annulled, sealed

and/or expunged from your record.

If yes, please describe:

EDUCATION

Type of School	Name of School	Location of School	Area of Study	Last Year				Did You Earn a
Type of School	Name of School	Location of School	Area of Study	Completed				Degree or Diploma?
				Completed				Degree or Diploma?

High School				1	2	3	4	Yes	No

College				1	2	3	4	Yes	No

Graduate				1	2	3	4	Yes	No

Other				1	2	3	4	Yes	No

REFERENCES

List names of three people (other than relatives) we may contact who have knowledge of your job-related skills.

Name	Telephone Contact/E-mail Contact	Address/City/State	Occupation

AN EQUAL OPPORTUNITY EMPLOYER	CONTINUED ON BACK

Big Lots is an Equal Opportunity Employer and does not discriminate in making employment decisions based upon race,

color, sex, religion, national origin, age, disability, marital status, sexual orientation, or veteran or military status.

SOS SKU# 960600043 • 08/12

EMPLOYMENT HISTORY

BEGINNING WITH YOUR MOST RECENT EMPLOYER, LIST ALL EMPLOYMENT INCLUDING MILITARY SERVICE AND SELF-EMPLOYMENT. Please account for all periods of unemployment. All sections of this application must be complete even if a resume is attached.

If presently employed, may we contact your employer for references?

Yes

No May we contact you at your place of employment?

Yes

Name of present or last employer			Job Title/Responsibilities				From (Mo. & Yr.)	To (Mo. & Yr.)

Address							Supervisor Name
			Was your position	Full time		Part time

City, State, ZIP			Reason for leaving	Terminated	Voluntary	Involuntary	Starting Salary $
			Explain
							Last Salary $
Phone Number	(	)					Last Salary $
Phone Number	(	)

Name of previous employer			Job Title/Responsibilities				From (Mo. & Yr.)	To (Mo. & Yr.)

Address							Supervisor Name
			Was your position	Full time		Part time

City, State, ZIP			Reason for leaving	Terminated	Voluntary	Involuntary	Starting Salary $
			Explain
							Last Salary $
Phone Number	(	)					Last Salary $
Phone Number	(	)

Name of previous employer			Job Title/Responsibilities				From (Mo. & Yr.)	To (Mo. & Yr.)

Address							Supervisor Name
			Was your position	Full time		Part time

City, State, ZIP			Reason for leaving	Terminated	Voluntary	Involuntary	Starting Salary $
			Explain
							Last Salary $
Phone Number	(	)					Last Salary $
Phone Number	(	)

Name of previous employer			Job Title/Responsibilities				From (Mo. & Yr.)	To (Mo. & Yr.)

Address							Supervisor Name
			Was your position	Full time		Part time

City, State, ZIP			Reason for leaving	Terminated	Voluntary	Involuntary	Starting Salary $
			Explain
							Last Salary $
Phone Number	(	)					Last Salary $
Phone Number	(	)

Name of previous employer			Job Title/Responsibilities				From (Mo. & Yr.)	To (Mo. & Yr.)

Address							Supervisor Name
			Was your position	Full time		Part time

City, State, ZIP			Reason for leaving	Terminated	Voluntary	Involuntary	Starting Salary $
			Explain
							Last Salary $
Phone Number	(	)					Last Salary $
Phone Number	(	)

I understand that Big Lots may contact the past employers and/or personal references I have provided in order to verify my past employment and work record. I authorize all past employers, educational institutions, government agencies and/or personal references to release any and all information concerning my past employment work history, performance, and personal character. I hereby release all such employers, personal references, and Big Lots from any and all liability resulting from damages I may incur in the reference veriﬁcation process. I understand that my employment or continued employment is contingent upon my successfully completing both reference and background checks.

I also understand that if employed by Big Lots, my employment is “at will” and can be terminated at any time for any reason either by myself or the Company. This agreement cannot be modiﬁed by any representative of the Company either in writing or verbally.

Finally, I understand it is unlawful for Big Lots to employ anyone who is neither a citizen of the U.S. nor an alien authorized to work in the U.S. I certify

that any U.S. citizenship/work authorization information I provide to the Company is authentic. Further, I certify that all information I have provided on this application is accurate.

False information or omission of facts on this application may result in the termination of my employment with Big Lots.

Applicant’s Signature

Date

Thank you for your interest and the time you have taken to submit this application.

Form 8850 (Rev. January 2012)

Department of the Treasury Internal Revenue Service

Pre-Screening Notice and Certification Request for

the Work Opportunity Credit

See separate instructions.

OMB No. 1545-1500

Job applicant: Fill in the lines below and check any boxes that apply. Complete only this side.

Your name

Social security number

Street address where you live

City or town, state, and ZIP code

County		Telephone number

If you are under age 40, enter your date of birth (month, day, year)

Check here if you received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit.

Check here if any of the following statements apply to you.

•I am a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9 months during the past 18 months.

•I am a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food stamps) for at least a 3-month period during the past 15 months.

•I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work program, or the Department of Veterans Affairs.

•I am at least age 18 but not age 40 or older and I am a member of a family that: a Received SNAP benefits (food stamps) for the past 6 months, or

b Received SNAP benefits (food stamps) for at least 3 of the past 5 months, but is no longer eligible to receive them.

•During the past year, I was convicted of a felony or released from prison for a felony.

•I received supplemental security income (SSI) benefits for any month ending during the past 60 days.

•I am a veteran and I was unemployed for a period or periods totaling at least 4 weeks but less than 6 months during the past year.

Check here if you are a veteran and you were unemployed for a period or periods totaling at least 6 months during the past year.

Check here if you are a veteran entitled to compensation for a service-connected disability and you were discharged or released from active duty in the U.S. Armed Forces during the past year.

Check here if you are a veteran entitled to compensation for a service-connected disability and you were unemployed for a period or periods totaling at least 6 months during the past year.

Check here if you are a member of a family that:

•Received TANF payments for at least the past 18 months, or

•Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning after August 5, 1997, ended during the past 2 years, or

•Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time those payments could be made.

Signature—All Applicants Must Sign

Under penalties of perjury, I declare that I gave the above information to the employer on or before the day I was offered a job, and it is, to the best of my knowledge, true, correct, and complete.

Job applicant’s signature

Date

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

Cat. No. 22851L

Form 8850 (Rev. 1-2012)

Form 8850 (Rev. 1-2012)						Page 2

		For Employer’s Use Only
Employer’s name			Telephone no.		EIN

Street address

City or town, state, and ZIP code

Person to contact, if different from above Phil Ownbey c/o First Advantage				Telephone no. (888) 570-4455

Street address 9800 Crosspoint Boulevard, Suite 300

City or town, state, and ZIP code	Indianapolis, IN 46256

If, based on the individual’s age and home address, he or she is a member of group 4 or 6 (as described under Members of Targeted Groups in the separate instructions), enter that group number (4 or 6) . . . . . . . . . . . . . .

Date applicant:
Gave	Was	Was	Started
information	offered job	hired	job

Under penalties of perjury, I declare that the applicant provided the information on this form on or before the day a job was offered to the applicant and that the information I have furnished is, to the best of my knowledge, true, correct, and complete. Based on the information the job applicant furnished on page 1, I believe the individual is a member of a targeted group. I hereby request a certification that the individual is a member of a targeted group.

Employer’s signature	Title		Date

Privacy Act and	criminal litigation, to the Department of	The time needed to complete and file
	Labor for oversight of the certifications	this form will vary depending on
Paperwork Reduction
	performed by the SWA, and to cities,	individual circumstances. The estimated
Act Notice	states, and the District of Columbia for	average time is:
	use in administering their tax laws. We
		Recordkeeping	. .	6 hr., 27 min.
SECTION REFERENCES ARE TO THE INTERNAL	may also disclose this information to

REVENUE CODE.	other countries under a tax treaty, to	Learning about the law
Section 51(d)(13) permits a prospective	federal and state agencies to enforce	or the form . . . .		. .	. 30 min.
	federal nontax criminal laws, or to
employer to request the applicant to		Preparing and sending this form
	federal law enforcement and intelligence
complete this form and give it to the		to the SWA . . . .		. .	. 37 min.
	agencies to combat terrorism.
prospective employer. The information
		If you have comments concerning the
will be used by the employer to	You are not required to provide the
		accuracy of these time estimates or
complete the employer’s federal tax	information requested on a form that is
		suggestions for making this form
return. Completion of this form is	subject to the Paperwork Reduction Act
		simpler, we would be happy to hear from
voluntary and may assist members of	unless the form displays a valid OMB
		you. You can write to the Internal
targeted groups in securing employment.	control number. Books or records
		Revenue Service, Tax Products
Routine uses of this form include giving	relating to a form or its instructions must
		Coordinating Committee,
it to the state workforce agency (SWA),	be retained as long as their contents
		SE:W:CAR:MP:T:M:S, 1111 Constitution
which will contact appropriate sources	may become material in the
		Ave. NW, IR-6526, Washington, DC
to confirm that the applicant is a	administration of any Internal Revenue
		20224.
member of a targeted group. This form	law. Generally, tax returns and return

may also be given to the Internal	information are confidential, as required	Do not send this form to this address.
Revenue Service for administration of	by section 6103.	Instead, see WHEN AND WHERE TO FILE in
the Internal Revenue laws, to the		the separate instructions.
Department of Justice for civil and

Form 8850 (Rev. 1-2012)

Click for Lots Job Application File

File Breakdown

Fact Name	Fact Details
Application Validity	This application remains active for ninety (90) days from the submission date.
Drug-Free Workplace	All employees are subject to drug and alcohol testing according to federal and state laws.
Age Requirement	Applicants must indicate if they are under the age of 18. If so, they must provide their age.
Criminal History Disclosure	Applicants must disclose if they have been convicted of specific crimes, but this does not automatically disqualify them.
Equal Opportunity Employer	Big Lots does not discriminate based on race, color, sex, religion, national origin, age, disability, marital status, sexual orientation, or military status.
Work Authorization	Applicants must prove they are legally entitled to work in the United States if hired.

Guide to Using Lots Job Application

Completing the Lots Job Application form is a straightforward process. By following these steps, you can ensure that all necessary information is provided accurately. After submitting the application, it will be reviewed by the hiring team. They will reach out if your qualifications match their needs.

Begin by filling out your personal data. Use ink to complete this section.
Enter your name, contact phone number, and address details.
Provide your email address and the position(s) you are interested in.
Indicate your salary requirements and if you are under 18.
Answer whether you have worked for Big Lots before and provide details if applicable.
Confirm your eligibility to work in the U.S. and mention any friends or relatives employed by Big Lots.
Indicate your availability to work, including specific days and times.
Disclose any convictions related to violent crimes, retail-related crimes, or drug trafficking.
Fill out the education section, listing schools attended, areas of study, and degrees earned.
List three references who can speak to your job-related skills, including their contact information.
Detail your employment history, starting with your most recent job. Include all relevant positions.
Review the authorization statements regarding reference checks and the accuracy of your information.
Sign and date the application to certify that the information provided is true.

Get Answers on Lots Job Application

What is the duration of the Lots Job Application form's validity?

The application remains active for ninety (90) days from the date of submission. This means that if you have not been contacted or hired within that timeframe, you may need to submit a new application if you are still interested in employment.

Do I need to provide personal information on the application?

Yes, you will need to fill out personal details such as your name, contact information, and address. This information helps the hiring team reach out to you regarding your application status and potential job offers.

What should I know about the drug-free workplace policy?

Big Lots maintains a drug-free workplace. All employees are subject to drug and alcohol testing in accordance with federal and state laws. This policy is in place to ensure a safe and healthy work environment for everyone.

Can I apply if I have a criminal record?

Yes, you can still apply. However, if you have been convicted of certain crimes, you will need to disclose this information. Keep in mind that a “yes” answer will not automatically disqualify you from employment; it will be considered as part of your overall qualifications.

What kind of references do I need to provide?

You are required to list three references who are not related to you and can speak to your job-related skills. This could include previous employers, colleagues, or mentors. Make sure to include their contact information and relationship to you.

What if I have gaps in my employment history?

It's important to account for all periods of unemployment on your application. Be honest about your work history, as transparency can help build trust with potential employers. If you took time off for personal reasons, you can mention that briefly if you feel comfortable.

Are there any age restrictions for applicants?

Yes, if you are under the age of 18, you will need to indicate your age on the application. Some positions may have age requirements due to labor laws. Make sure to check the specific job listing for any additional requirements.

What happens after I submit my application?

Once your application is submitted, it will be reviewed by the hiring team. If your qualifications match the job requirements, you may be contacted for an interview. Keep an eye on your email and phone for any updates regarding your application status.

Common mistakes

Completing a job application can be a daunting task, and many applicants make mistakes that may hinder their chances of securing employment. One common error is failing to read the instructions carefully. The Big Lots Employment Application clearly states that it must be filled out in ink. Not adhering to this guideline can lead to an application being deemed incomplete or unprofessional. Attention to detail is crucial, and applicants should ensure they follow all specified requirements.

Another frequent mistake is incomplete or inaccurate personal information. Applicants often rush through the sections regarding their name, contact information, and address. Missing a phone number or providing an incorrect email can result in missed communication from potential employers. It is essential to double-check all personal data to ensure accuracy and completeness.

Additionally, many applicants neglect to provide a comprehensive employment history. The application requires a detailed account of previous jobs, including job titles, responsibilities, and reasons for leaving. Omitting any of this information can raise red flags for employers. Applicants should take the time to reflect on their work history and provide a thorough overview to present themselves in the best possible light.

Furthermore, applicants sometimes underestimate the importance of references. The application requests names and contact information for individuals who can vouch for the applicant's skills and character. Failing to provide references or listing unqualified individuals can negatively impact an application. It is advisable to choose references who are familiar with the applicant's work ethic and abilities.

Another common pitfall is neglecting to disclose relevant criminal history. While the application allows for certain disclosures to be omitted, it is important to answer questions about convictions truthfully. Employers appreciate honesty and may be more inclined to consider an applicant’s overall qualifications rather than solely focusing on past mistakes.

Finally, many applicants overlook the significance of signing and dating the application. A signature indicates that the applicant certifies the information provided is accurate and complete. Failing to sign the application can lead to immediate disqualification. It is essential to review the application one last time before submission to ensure all necessary steps have been taken.

Documents used along the form

When applying for a job at Big Lots, several other forms and documents may be required alongside the Lots Job Application form. Each of these documents serves a specific purpose in the hiring process and helps ensure that both the employer and applicant are on the same page.

Resume: A resume provides a summary of your work experience, education, and skills. It highlights your qualifications and can help you stand out to potential employers.
Cover Letter: This letter introduces you to the employer and explains why you are a good fit for the position. It allows you to express your enthusiasm and provide additional context to your application.
References List: A list of professional contacts who can vouch for your work ethic and skills. Typically, this includes former supervisors or colleagues who can provide insight into your abilities.
Form 8850: This form is used to request certification for the Work Opportunity Credit. It helps employers identify potential tax credits for hiring certain groups of individuals.
Background Check Authorization: This document gives permission for the employer to conduct a background check. It is a standard procedure to verify your employment history and criminal background.

Having these documents ready can streamline the application process and enhance your chances of being hired. Ensure that all information is accurate and up-to-date to make a positive impression on potential employers.

Similar forms

Job Resume: Like the Lots Job Application form, a job resume provides a summary of an applicant's work history, education, and skills. Both documents are essential for employers to evaluate a candidate's qualifications and suitability for a position.
Cover Letter: A cover letter accompanies a job application, including the Lots Job Application form. It allows candidates to express their interest in a specific role and highlight key experiences or skills that make them a good fit for the job.
Employment Verification Form: This form is used by employers to confirm an applicant's previous employment details. Similar to the Lots Job Application, it requires information about past jobs, including dates and responsibilities, to assess the applicant's work history.
Background Check Authorization Form: This document allows employers to conduct background checks on applicants. It shares similarities with the Lots Job Application in that both require consent from the applicant to verify information provided during the application process.
Reference Check Form: This form is used to contact individuals listed as references by a job applicant. Like the Lots Job Application, it seeks to gather insights about the candidate's work ethic and skills from previous colleagues or supervisors.
W-4 Form: The W-4 form is used for tax withholding purposes and is often filled out upon employment. Similar to the Lots Job Application, it collects personal information and requires the applicant to certify their details, ensuring compliance with legal requirements.

Dos and Don'ts

When filling out the Big Lots Job Application form, there are several important dos and don'ts to keep in mind. This will help ensure that your application is complete and stands out positively.

Do fill out the application in ink to ensure clarity.
Do provide accurate and truthful information throughout the form.
Do list all relevant employment history, including military and self-employment.
Do include valid references who can speak to your job-related skills.
Do indicate your availability clearly, specifying any restrictions.

Don't leave any sections blank; complete all required fields.
Don't provide false information, as it may lead to disqualification or termination.
Don't forget to sign and date the application before submission.
Don't disclose information about arrests or charges that have been expunged.
Don't hesitate to ask for clarification if you don’t understand a question.

Misconceptions

Misconception 1: The application is only valid for a few days.

Many believe that the Big Lots job application is only active for a very short time. In reality, it remains active for ninety (90) days, giving applicants ample time to be considered for various positions.

Misconception 2: You need to disclose all criminal history.

Some applicants worry that they must reveal every detail of their criminal past. However, the form states clearly that a “yes” answer to certain questions will not automatically disqualify them. Furthermore, applicants do not need to disclose arrests or convictions that have been erased or sealed.

Misconception 3: You cannot apply if you are under 18.

While the application asks if you are under 18, it does not prohibit younger applicants from applying. It simply seeks to gather information about your age.

Misconception 4: Previous employment must be listed in detail.

Some believe they need to provide extensive details about past jobs. The application requests information on previous employers but focuses on the most recent positions and does not require exhaustive descriptions.

Misconception 5: The application is only for full-time positions.

Many think that Big Lots only hires for full-time roles. The application includes options for part-time work, encouraging applicants to specify their availability.

Misconception 6: References must be family members.

Some applicants mistakenly think they can list family members as references. The application explicitly asks for references who are not related, ensuring that your references can speak to your professional qualifications.

Misconception 7: You cannot apply if you have been terminated from a job.

There is a common belief that being terminated from a previous job disqualifies you from applying. The application allows you to explain your reason for leaving, emphasizing that a termination does not automatically eliminate your chances.

Misconception 8: The application process is overly complicated.

Some may feel overwhelmed by the application process, thinking it is too complex. In reality, the form is straightforward and designed to gather essential information efficiently.

Misconception 9: Signing the application is not important.

Lastly, some applicants may overlook the significance of their signature. Signing the application is crucial, as it certifies that the information provided is accurate and acknowledges the potential for background checks.

Key takeaways

When filling out the Big Lots Job Application form, there are several important points to keep in mind:

Active Status: The application remains active for ninety (90) days. If you do not hear back within this period, consider reapplying.
Complete in Ink: Fill out the application using a blue or black ink pen to ensure clarity and professionalism.
Drug-Free Workplace: Be aware that all employees are subject to drug and alcohol testing as permitted by law.
Age Verification: If you are under 18, you must indicate your age on the application.
Work Eligibility: Confirm that you can provide proof of your legal entitlement to work in the United States if hired.
Employment History: List all previous employers, including military and self-employment, starting with the most recent. Ensure all gaps in employment are accounted for.
References: Provide three references who can speak to your job-related skills. Avoid listing relatives.
Criminal History: Disclose any convictions related to violent or retail crimes. A "yes" answer does not automatically disqualify you.
Signature Required: Your signature certifies that all information provided is accurate and complete, and you understand the implications of false information.
Equal Opportunity Employer: Big Lots is committed to equal opportunity and does not discriminate based on various factors, including race and gender.

By keeping these key takeaways in mind, you can ensure that your application is completed accurately and professionally, increasing your chances of securing a position at Big Lots.