01/09/2026
Applicant Information
Full Name: ___________________________________________
Phone Number: _______________________________________
Email Address: _______________________________________
City / State: ________________________________________
Age (must be 18+): ☐ Yes ☐ No
Availability (PRN / As-Needed)
Days you are generally available (check all that apply):
☐ Monday ☐ Tuesday ☐ Wednesday ☐ Thursday ☐ Friday ☐ Saturday ☐ Sunday
Preferred time availability:
☐ Morning ☐ Afternoon ☐ Evening ☐ Flexible
Are you available on short notice (same-day or next-day shifts)?
☐ Yes ☐ No
Do you understand this is a PRN/as-needed position with no guaranteed hours?
☐ Yes ☐ No
Experience & Background
Have you worked in retail before?
☐ Yes ☐ No
If yes, briefly describe (store type & role):
Do you have experience with supplements, nutrition, fitness, or health products?
☐ Yes ☐ No
If yes, explain your background (gym, coaching, personal use, certifications, etc.):
Customer Service & Sales
Describe a time you helped a customer find the right product or solution:
Are you comfortable:
Talking to customers about supplements? ☐ Yes ☐ No
Making product recommendations? ☐ Yes ☐ No
Learning new products regularly? ☐ Yes ☐ No
Store Responsibilities
Are you comfortable with the following tasks? (Check all that apply)
☐ Cash register / POS system
☐ Stocking shelves & inventory
☐ Cleaning & organizing the store
☐ Checking expiration dates
☐ Opening / closing duties
☐ Working solo at times
Reliability & Work Ethic
Why are you interested in PRN work at a supplement store?
How would you describe your reliability and work ethic?
References
Please list one or two references (work or personal):
Name: ____________________________
Relationship: _____________________
Phone / Email: ____________________
Applicant Statement
I certify that the information provided is true and complete to the best of my knowledge. I understand that false information may result in disqualification or termination.
Applicant Signature: ___________________________
Date: ___________________
Employer Use Only
Interview Date: ___________________
Hire Decision: ☐ Yes ☐ No
Start Date: ___________________
Hourly Rate: _______________