As an
equal Opportunity employer, JM Oil and JM Speedstop Stores, does
not discriminate in hiring or terms and conditions of employment
because of an individual's race, creed, color, sex, age,
religion, disability, or national origin. JM Oil and JM Speedstop
stores only hires individuals authorized for employment in the
United States. Are you authorized for employment in the U.S.?
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| Availability |
1. Position Applying For:
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2. Desired
Schedule
Days
Nights
Weekends
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| 3. Location Desired:
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4. Available
To Start:
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5. Salary Desired
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| 6. Days and
Hours Available:
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Monday |
to
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Tuesday |
to
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Wednesday |
to
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Thursday |
to
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Friday |
to
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Saturday |
to
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Sunday |
to
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| Personal
Information |
| 7. Last Name
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First Name
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Middle Name
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| 8. Current Address(Street
or PO Box)
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City
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State
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Zip
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| 9. Daytime Phone
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10. Evening Phone
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11. Social Security Number
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| 12. Are you 18 or Older?
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13. Have you ever been convicted of a felony?
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14. What skills do you have that would be helpful for this position?
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15. Please list names friends or relatives now employed by JM Oil or Speedstop.
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| Employment
History |
| List previous employers
starting with the most recent. |
| 16. Current/Most
Recent Employer
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17. Position
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18. Date(1/99)
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| 19. Employer
Address(Street or PO Box)
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City |
State |
Zip |
| 20. Supervisor
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21. Duties Performed
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22. Reason for Leaving
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Starting Wage
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Ending Wage
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| 23. Employer
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24. Position
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25. Date(1/99)
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| 26.
Employer Address(Street or PO
Box)
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City
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State
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Zip
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| 27. Supervisor
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28. Duties Performed
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29. Reason for Leaving
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Starting Wage
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Ending Wage
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30. May we contact your previous employer?
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31. Please explain any gaps in employment.
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Education |
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| Please
Read This Statement Carefully |
I certify
that answers given herein are true and complete to the best of
my knowledge. I authorize investigation of all statements contained
in this application for employment as ma be necessary in arriving
at an employment decision. This application for employment shall
be considered active for a period of time not to exceed 45 days.
Any applicant wishing to be considered for employment beyond this
time period should inquire as to whether or not applications will
be accepted at this time. 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 reign at any time and
the Employer may discharge an 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 such change is specifically acknowledged
in writing by an authorized executive of this organization. this
is not an employee contract. In the event of employment, I understand
that false or misleading information given in my application or
interview(s) may result in discharge. I understand, also, that
I am required to abide by all rules and regulations of the employer.
By choosing to submit this form electronically, I certify and
agree that my name in the space below is as entered in the personal
section of this electronic application form and by such submittal
I bind and legally obligate myself to the same extent as I would
by signing my name on a printed paper version of this form.
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