Beach Oil company - Application for Employment

Beach Oil Company - Online Forms - Application for Employment

	(No Time Online? Click here to download a printable PDF version of this Application.)
Your First Name:
Your Middle Name:
Your Last Name:
Your Street Address and Number:
Your City:
Your State:
Your Zip/Postal Code:
Your Drivers License Number:
Your Drivers License State:
Your Drivers License Expiration Date:
Your Phone Number:
Your Other Phone Number (Optional):
Your E-mail Address:
How many addresses have you had in the last 5 years?
Are you a US citizen?
If no, do you have the legal right to work in the US (Visa)?
Are you at least 21 years old?
What kind of employment are you currently seeking (choose one):
What position are you applying for?
Salary Desired:	$
Least Acceptable Salary:	$
What hours and shift(s) would you prefer to work? (Any Hours or Shift)	(Any Hours or Shift)
Or, Define Hours or Shift:
Please indicate any hours/shifts you will not be able to work, if any:
Are you willing to work Overtime?
Are you willing to work Weekends?
Are you willing to work Holidays?
Have you ever worked for Beach Oil Co. before?
If yes, please indicate name used:
Name any friends or relatives currently working for the company, if any:
Are you currently employed?
When will you be able to start? (Immediately)	(Immediately)
Or, define an available start date:
Are you on layoff and subject to recall?
Have you ever been discharged or asked to resign from any position?
If yes, please describe:
How many days of work/school have you missed within the last 12 months?
How many days have you been late reporting to work/school within the last 12 months?
How many days have you missed from work/school for other reasons within the last 3 years?
Please describe:
Bonding and money handling policies require that we ask if you have ever been convicted of a felony?
On parole?
Awaiting trial?
If yes, state the nature of the offense and disposition of the case. Include dates and places:
In case of emergency, please indicate person to be notified (Their Name):
Their Address:
Their Phone Number:
	EMPLOYMENT HISTORY Please complete the following information starting with your most recent or current employment. At least one employment reference is required.
Employer #1:
Position:
Phone Number:
Address Street and Number:
City:
State:
Zip/Postal Code:
Supervisor:
Duties:
Date Start:
Date Through:
Reason for Leaving:
Employer #2:
Position:
Phone Number:
Address Street and Number:
City:
State:
Zip/Postal Code:
Supervisor:
Duties:
Date Start:
Date Through:
Reason for Leaving:
Employer #3:
Position:
Phone:
Address Street and Number:
City:
State:
Zip/Postal Code:
Supervisor:
Duties:
Date Start:
Date Through:
Reason for Leaving:
List any special skills, experience, or training:
Any hobbies or special interests?
How did you find about this job?
	CONSENT TO DISCLOSURE - PLEASE READ AND SIGN BELOW
	By submitting this application online in consideration for employment with Beach Oil Co. (from now on referred to as "the Company" you acknowledge that you have read and understand the following statements: 1. You grant permission to the Company to investigate my previous employment, educational background, past criminal records (if any) and character references. You release all persons who furnish such information to the Company from all liabilities and damage and that upon your request, the Company shall make a complete and accurate disclosure of the nature and scope of such investigation if one is made. 2. You agree to conform to the rules and regulations of the Company set forth in the employee handbook and acknowledge that these rules may be changed, interpreted, withdrawn, or added to by the Company at any time, at the employer's sole option and without any prior notice to me. 3. You acknowledge that if you are employed by the Company your employment will be at will, and might be terminated with or without cause at any time by me or by the Company. 4. You understand that no representative of the Company has any authority to enter into any agreement for employment for any specified period of time or to assure any benefits or terms and conditions of employment prior to commencement of employment or after you have become employed. 5. Upon or during your employment, and when deemed appropriate by the Company, you agree to cooperate fully in any or all investigations involving suspect or possible violations of Federal, State or County laws, or Company policy. 6. You acknowledge that your application will be reviewed and considered given current Company's needs but its receipt by the Company does not imply that you will be further contacted, offered employment, or be employed by the Company. 7. You declare that the information provided by you on this application is true and complete and that you have not failed to disclose any information that could be considered relevant to the Company's hiring decision. You further understand that any falsification or misleading information are grounds for refusal to hire, dismissal, and forfeiture of related benefits. E-Sign: By typing your name in the box below you acknowledge the information, details, and policies explained to you in this application and agree to have read and understand them.
Applicant's Signature:
Date Signed
IP Address (Verifies Digital Signature):	54.234.180.187
- Required field