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A value is required.
Position Applying For*
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Expected Pay*
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Date Available to Work*
Referred By |
State All Hours Available to Work:
A value is required.
A value is required.
A value is required.
A value is required.
A value is required.
A value is required.
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Do you have a relative employed by Tevis Oil, Jiffy Mart, or Modern Comfort:
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If yes, who and what location?:
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Have you ever been employed by Tevis Oil, Jiffy Mart, or Modern Comfort:
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If yes, when and where?:
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**During the past 7 years, were you convicted of a crime, excluding misdemeanors, and traffic violations:
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If convicted, please describe:
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Are you a U.S. Citizen/Resident?
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Are you eligible to work in the United States?
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Do you have transportation to work?
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What additional relevant experience or training have you had
other than your work experience, military service and education?:
Name/ phone of person to contact in case of accident/ injury:
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Please make a selection. I authorize investigation of all statements contained in this application. I understand that misrepresenting or omission of facts called for is a cause for dismissal. I authorize the references listed above to provide any information concerning my previous employment, and release all parties from all liability by furnishing this information. I understand that as part of the processing procedure from my employment application, An investigate report may be made concerning character, general reputation, personal characteristics and mode of living. I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without notice. |
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| * Required ** A conviction will not necessarily bar you from employment. |
