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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?      

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?


Are you at least 18 years old?      

Have you ever been convicted of a felony?      

High School Graduate?      


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:    

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?    

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



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:    

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?    

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



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:    

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?    

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


Requirements

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

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

I have read and understood the Application Agreement documentation.  

© 2013 I-90 Fuel