Employment

As an Equal Opportunity Employer, Alliance Retail Services Group has pledged and continues to pledge that equal opportunity is provided for all qualified persons without regard to race, color, creed, gender, age, religion, national origin, disability, marital status, sexual orientation, veteran status, public assistance, or any other legally protected status.

Please provide the following Personal Information:

First Name

Last Name

Street Address

(City, State, Zip)

Home Phone: (Area and Phone) Cell or Mobile Phone: (Area and Phone)

Email Address

When are you available to begin working?

What's the best time to contact you?

I attended High School

I attended College and yes, I have a degree.

Check Yes or No if the following statements about you are true:

Yes, I am over 18? Yes, if hired I can provide proof of my right to work in the US?

Yes, I have been previously employed by Yes, I have work experience with either a Merchandising Company or a Retailer.

Alliance Retail Services Group. If Yes the please list the company names below:

No, I have not been convicted of a felony or serious misdemeanor.

If you reside in Illinois, you are not obligated to disclose sealed or expunged records of arrest.

Yes, I have been convicted of a felony or serious misdemeanor. If yes, provide details.

No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.

Check your past skills in the following (check all that apply to you):

Stocked/Straightened Shelves. Placed Orders. Read/Understood Planograms.

Reset Sections to Planogram. Cut in New Items to Planogram. Labeled Sections to Planogram.

Performed Audits and Inventory. Pulled Items for Return. Assembled and Installed Fixtures.

Organized and Scheduled a Reset. Installed or Replaced Signs. Installed or Replaced POP.

Check your additional specific capabilities:

I can lift up to 30 Lbs. I am willing to lift up to 30 Lbs.

I am able to stand, bend or stoop for long periods. I do have access to reliable transportation.

1-10 hrs | 11-20 hrs | 20+ hrs | I am able to work for this number of hours per week.

Mon | Tue | Wed | Thu | Fri | Sat | Sun | I am able to work on any or all of these days.

Days | Nights | Overnights | Weekends | I can work at these times.

Yes, I will commit to servicing the stores that are assigned to me.

Yes, I do have access to a computer, the internet and a printer.

Yes, I am willing and able to perform all of the tasks listed on the job description.

My Employment History is as follows:

Employer #1: Name and address and phone of employer.

Your Position and Title

Your Supervisor's Name and Title

Employment Start/End Dates

Final Pay Rate.

A brief Description of your Work Duties.

Your reasons for leaving.

Employer #2: Name and address and phone of employer.

Your Position and Title

Your Supervisor's Name and Title

Employment Start/End Dates

Final Pay Rate.

A brief Description of your Work Duties.

Your reasons for leaving.

The following three References may be contacted:

Name: City/State: Years Known:

Business Relationship: Phone:

Name: City/State: Years Known:

Business Relationship: Phone:

Name: City/State: Years Known:

Business Relationship: Phone:

The following is a brief description of my additional experience and qualifications (not my entire resume):

Please read carefully, initial each paragraph, and sign below. If you have any questions regarding the following statements, please ask for assistance.

Yes, I agree that Alliance Retail Services Group or their authorized agent may conduct a thorough inquiry into all areas deemed necessary to arrive at a hiring decision, and will verify the background information that I supply in connection with my employment application. The information to be verified includes any and all information supplied on the application form or resume, and information provided in any conversation or interview with any employee of Alliance Retail Services Group. I understand that reference responses are confidential and are not available for inspection.

Yes, I understand that Alliance Retail Services Group is committed to maintaining a drug and alcohol free environment and prohibit the possession, use, gifting, sale, or dispensing of illegal drugs or misuse of legal drugs, including prescribed drugs and alcohol on Alliance Retail Services Group premises or while conducting Alliance Retail Services Group business.

Yes, I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and Alliance Retail Services Group may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless the President of Alliance Retail Services Group specifically acknowledges such change in writing.

Yes, I agree that when this application has been completed and submitted it becomes the property of Alliance Retail Services Group.

Yes, I agree that all information printed here has been read and understand and that the information provided in my application or interview(s) is true and complete and that any misrepresentation, falsification or willful omission may be sufficient reason for refusal of employment or dismissal after employment, regardless of the time elapsed before discovery.

Application Disclaimer:

In submitting this application, I understand that I will be considered for employment as opportunities become available in a geographic region. I also understand that omissions or false statements may disqualify me for employment or be cause for my subsequent dismissal if I become an employee. I authorize investigation of all statements contained in this application. I understand that my employment may also be contingent upon successful completion of a criminal background investigation. Additionally, I understand that nothing contained in this application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company. If an employment relationship is established, I understand that I have the right to terminate my employment at any time for any reason or no reason, and the company retains the same right regarding the discontinuation of my employment. I have carefully read the above Application Acknowledgement and I understand and agree to all statements. I also certify that the statements made by me in this application are true, complete and correct to the best of my knowledge and belief.

I hereby verify that the above information is correct and by checking this box I acknowledge that I have read this Application Disclaimer.

Western Region: Joseph L. Smith jsmith@arsg.net 714-469-1629 | Central Region & Eastern Region: Tim Nelke tnelke@arsg.net 303-919-6177