Wall Drug Application 

Wall Drug Store, Inc.
P.O. Box 401 * 510 Main Street, Wall SD  57790
605-279-2175 * Fax 605-279-2699
walldrug@gwtc.net * www.walldrug.com

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion or national origin.

   Personal Data 

Name:
Social Security Number:
Email Address:

Are You:     Under 18    Over 18   Over 21 
(Employees must be 18 years of age or older to work with some equipment, and 21 years of age or older for jobs requiring operation of certain vehicles)
College Address:
City:
State: Zip:
School Phone:
Parent's Name: Father: 
Mother:
Parent's Address:
City:
State: Zip:
Parent's Phone:

    Educational Background 

High School:
Years Completed: Major:
Degrees or Diploma:
College/Vocational:
Years Completed: Major:
Degrees or Diploma:
School Activities:
Hobbies:
    Work Experience

Please provide
COMPLETE mailing addresses

Include all 'vacation' or part-time
work. List last employer first.

Employer:
Street:
City:
State: Zip:
Kind of Work:
Dates Worked: From:   -- mm/yy  To: -- mm/yy
Employer:
Street:
City:
State: Zip:
Kind of Work:
Dates Worked: From:   -- mm/yy  To: -- mm/yy
Employer:
Street:
City:
State: Zip:
Kind of Work:
Dates Worked: From:   -- mm/yy  To: -- mm/yy
Employer:
Street:
City:
State: Zip:
Kind of Work:
Dates Worked: From:   -- mm/yy  To: -- mm/yy
    References 

Please provide
COMPLETE mailing addresses

(Please list three.) 

Name:
Street:
City:
State: Zip:
Telephone:
Name:
Street:
City:
State: Zip:
Telephone:
Name:
Street:
City:
State: Zip:
Telephone:

    When are you available to work? 

Dates available 
to work: 		From:   -- mm/dd  To: -- mm/dd

    Why do you want to work at Wall Drug? 

Write a brief paragraph telling why you want to work at Wall Drug Store.

    Additional Information 

Speak or read a foreign language fluently?  Special skills?   Special talents?

    Notice!
Optionals: Applicants may submit a recent color photograph. Remember, the following information is also optional:
To Prospective Applicants:  Due to work load requirement,s the longer you agree to stay on the job after Labor Day, the greater assurance you have of being hired.		 READ CAREFULLY!   If you are employed by Wall Drug, false statements on this application shall be considered sufficient for your dismissal.

See You at Wall Drug!

    Authorization Release 

Authorization to release personal information.
  As an applicant for employment at Wall Drug Store, Inc. I authorize the release of information to Wall Drug Store, Inc.  I release and hold harmless past and present employers, references and all persons and institutions from any claim or liability for furnishing information, and I waive application for the Family and Privacy Act insofar as the same might apply to responding to such request for information.

I have read, understand, and by my typed name below consent to these statements.

Date: -- mm/dd/yy   

Type Your Full Name Here to Authorize

Please be patient.  Press the "Send" button only once.