Employment Application

If you have not already done so, please read and understand the following documentation: Application Agreement and Job Functions. If you prefer to download an application to fill out and deliver or mail to any I-90 Fuel location please click here.

Name:

Street Address:

City / State / ZIP:

Phone:
xxx-xxx-xxxx

Email:

Today's Date:

Have you ever worked for I-90 Fuel Services, Inc. before? YesNo

Which I-90 Fuel location are you applying for?

What position are you applying for?

Desired wage/salary:

How many hours do you want to work?

Are you willing to work any of the following?
Nights
Weekends
Holidays

Are you at least 18 years old? YesNo

Have you ever been convicted of a felony? YesNo

High School Graduate? YesNo

Previous Employers

Present or Last Employer

Type of Business:

Street Address:

City / State / ZIP:

Starting Date:
MM/YY

Leaving Date:
MM/YY

Job Title:

Name of Supervisor:

Starting Salary / Ending Salary:

Phone:
xxx-xxx-xxxx

Type of Job: Full-timePart-time

Job Description/Responsibilities:

Explain reasons/circumstances for leaving:

If we contact this employer, would you expect them to say they would re-hire you for the last position you held there? YesNo

If this is your current employer, may we contact them for reference? YesNo

Present or Last Employer #2

Type of Business:

Street Address:

City / State / ZIP:

Starting Date:
MM/YY

Leaving Date:
MM/YY

Job Title:

Name of Supervisor:

Starting Salary / Ending Salary:

Phone:
xxx-xxx-xxxx

Type of Job: Full-timePart-time

Job Description/Responsibilities:

Explain reasons/circumstances for leaving:

If we contact this employer, would you expect them to say they would re-hire you for the last position you held there? YesNo

If this is your current employer, may we contact them for reference? YesNo

Present or Last Employer #3

Type of Business:

Street Address:

City / State / ZIP:

Starting Date:
MM/YY

Leaving Date:
MM/YY

Job Title:

Name of Supervisor:

Starting Salary / Ending Salary:

Phone:
xxx-xxx-xxxx

Type of Job: Full-timePart-time

Job Description/Responsibilities:

Explain reasons/circumstances for leaving:

If we contact this employer, would you expect them to say they would re-hire you for the last position you held there? YesNo

If this is your current employer, may we contact them for reference? YesNo

Requirements

I have read the Job Functions documentation and am able, with reasonable accommodation if necessary, to perform all the essential job functions?
YesNo

If no, please describe the functions of the job you cannot perform:

I have read and understood the Application Agreement documentation.

Design & Development by HS