Please download and complete this background check form. Once complete, please fax to 703-451-8380 or email to
Are you a US Citizen? Yes No
Do you have a valid drivers license? Yes No
Can you travel & work within the region? Yes No
Have you ever been convicted of a misdemeanor crime? Yes No
If yes, please describe:
Have you ever been convicted of a felony crime? Yes No
If yes, please describe:
Store Location Preference
Upload your resume..
Upload your cover letter..
Upload your completed background check form..
(download at the top of this form)

Additional Skills or Qualifications
I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize the investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they my have, personal or otherwise, and release the company from all liability for any damage that may result from the utilization of such information. I also understand and agree that no representative of the compny has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.