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Employment Application
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Name
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First
Last
Email
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Address
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City
State
Zip Code
Country
Telephone
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Date of Application
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Date Available
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Position Applied For
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Have you ever worked for us before?
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Yes
No
Expected Pay Rate
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Are you 18 years or older?
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Yes
No
Equal Employment Opportunity:
It is our policy to seek and employ the best qualified personnel and to provide equal opportunity for the advancement of employees and to administer all o our personnel policies in a manner that will not discriminate against any person because of race, color, religion, age, sex, sexual orientation, marital or veteran status, predisposing genetic characteristics, national origin, ancestry, disability, on-the-job injuries, or any other legally protected status unless it is a bona fide occupational requirement reasonably necessary to the operation of our business.
Availability
Check days you are available to work.
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Check shifts you are available to work.
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Days
Swing
Grave
Rotating
We will attempt to reasonably accommodate employees who require the certain hours or days off because of religious beliefs or practices.
At which location would you like to work?
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Any Location
58th & Powell Chevron
82nd Avenue Extra Mile Chevron
174th Chevron
191st Chevron & Sparkle Wash Car Wash
217 Chevron
Aloha 170th Extra Mile Chevron
Aloha 185th Extra Mile Chevron
Banks Chevron
Cedar Hills Extra Mile Chevron
Clackamas Chevron
Fishers Landing Chevron
Forest Grove Chevron
Gladstone Chevron
Gresham/Downtown
Gresham/Hogan
Hillsboro Chevron
Lake Oswego Extra Mile Chevron
Milwaukie Chevron
Murray Road Chevron
Oregon City Chevron
Progress Chevron
Raleigh Hills Chevron
Reedville Chevron
Sandy Chevron
Scholls Ferry Road Chevron
Stark Street Chevron
Tigard Chevron
Are you authorized to accept employment in the United States?
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Yes
No
Do you have any relatives/friends who currently work for us?
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Yes
No
If yes, state name of friend/relative.
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Qualifications
List any education, training and/or specialized experience that would help your job performance.
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(examples include: schools, colleges, degrees, licenses, vocational, techinical or military experience, hobbies etc)
Where did you acquire your education, training and/or specialized experience?
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Employment Experience
Present or Last Employer
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Phone
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Hire Date / Date Left
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Starting Pay / Final Pay
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Address
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Supervisor
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Job Title / Duties
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Reason for Leaving
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Present or Last Employer
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Phone
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Hire Date / Date Left
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Starting Pay / Final Pay
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Address
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Supervisor
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Job Title / Duties
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Reason for Leaving
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Present or Last Employer
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Phone
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Hire Date / Date Left
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Starting Pay / Final Pay
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Address
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Supervisor
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Job Title / Duties
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Reason for Leaving
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Present or Last Employer
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Phone
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Hire Date / Date Left
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Starting Pay / Final Pay
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Address
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Supervisor
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Job Title / Duties
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Reason for Leaving
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Verification
I authorize the investigation of all matters which the Company deems relevant to my qualifications for employment, including all statements made in this application and in any attachments or supporting documents. I authorize you to request and receive such information and I release from all liability any persons (such as former supervisions) or employers supplying it. I also release you from all liability which might result from making the investigation.
I certify that the facts and information in this application and in any attachments or supporting documents are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission, as well as any misleading statements or omissions, generally will result in denial of employment or immediate termination, regardless of when and how discovered.
I understand that I may be required to submit to pre- or post-employment physical or other professional examination, medical inquiries and/or urinalysis tests or the presence of drugs and/or alcohol. I agree to such examinations, inquiries and/or testing at the Company's expense. I authorize release of the results to the Company an their use to evaluate my suitability for employment. I also release the Company from all liability arising out of or connected with any examinations, inquiries and/or testing.
I understand that I may resign or be terminated, without cause or notice, at any time, unless otherwise stated in a written employment contract. I also understand that the Company's President is the only person who will every have authority to agree to any other terms and/or to enter into such contracts and that all such agreements for other terms of employment or contracts must also be signed by both parties. I also understand that unless otherwise stated in a written employment contract, the Company may change, withdraw and interpret other policies (including wages, hours and working conditions) as it deems appropriate.
This application for employment will only be considered active for forty-five (45) days.
I have read each of these statements. I have also reviewed all of the information provided in this application and in any attachments or supporting documents.
I agree to the above. Send application now.
Incomplete applications, unsigned applications and applications containing extraneous information not requested by the application will not be processed.
Thank you!
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