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First Name
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Last Name
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Primary Phone
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Secondary Phone
How Long Have You Lived There
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Please Select The Number Of Year(s)
1
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3+
Months
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Please Select The Number Of Months
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How Long Have You Lived There
Please Select The Number Of Year(s)
1
2
3+
Months
Please Select The Number Of Months
1
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Desired Salary / Hourly Rate:
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Salary / Hourly
*
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Salary
Hourly
If under the age of 18, can you produce the necessary work certificate at the time of employment?
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No
Type of employment desired:
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Full Time
Part Time
Seasonal
Are you willing to work overtime?
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Yes
No
Date you are available to start work:
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Have you previously applied for employment with this company?
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Yes
No
If yes, when and where did you apply?
Please Select A Location
393 Canton Road, Wintersville, OH
320 Walden Ave, Tiltonsville, OH
3232 St Clair Ave, East Liverpool, OH
275 East Lincoln Way, Lisbon, OH
968 East State Street, Salem, OH
16292 East Liverpool Road, East Liverpool, OH
3395 Guernsey St, Bellaire, OH
1424 Cadiz Road, Wintersville, OH
700 Ridge Ave, New Cumberland, WV
WV Route 2, Wellsburg, WV
1300 First St, Moundsville, WV
306 S. Chester St., New Cumberland, WV
1805 Warwood Ave, Warwood, WV
Date when you applied
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Have you ever been employed by this company?
*
Please Select One
Yes
No
If yes, provide dates of employment, location, and reason for separation from employment.
From: Year
Month
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To: Year
Month
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For the next two questions do not include convictions that were sealed, eradicated, erased, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program.
Have you ever plead guilty or no contest to, or been convicted of any criminal offense other than the applicable exceptions listed above?
*
Please Select One
Yes
No
Have you ever been arrested for any matters for which you currently are out on bail or on your own recognizance pending trial?
*
Please Select One
Yes
No
CRIMINAL OFFENSES ONLY: If you answered YES, to either of the above two questions, please provide the date(s) and explain in accordance with the above instructions so that individual circumstances can be considered.
Criminal convictions or arrests will not automatically disqualify an applicant from a particular job. The Smith Oil Company, Inc. will consider the nature of the crime, its seriousness, the substantial relation to the position's functions and qualifications, the number of occurrences, the applicant's age at the time of the crime, the time elapsed since the crime, the applicant's entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.
Have you ever initiated an act of violence in the workplace?
Please Select One
Yes
No
If YES, please provide the date(s) and explain so that individual circumstances can be considered. (A "YES" answer will not necessarily disqualify you from employment.)
List all special technical skills that you feel qualify you for the job which you are applying (For example., computer programming/language, software, equipment operation, special tools or machines, etc.)
Work Experience
Please list the names of your present and/or previous employers in chronological order with present or last employer listed first. Account for all periods of time including any period of unemployment. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment.
Current or Most Recent Employer
Name
Type Of Business
Phone Number
Job Title
Duties
Dates employed:
From: Year
Month
Please Select One
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To: Year
Month
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Supervisor's name
May we contact?
Please Select One
Yes
No
If No, why not?
Wages start
Wages final
Reason for leaving
What will this employer say was the reason your employment terminated?
How much notice did you give when resigning? If none, explain.
Previous Employer
Name
Type Of Business
Phone Number
Job Title
Duties
Dates employed:
From: Year
Month
Please Select One
1
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To: Year
Month
Please Select One
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Supervisor's name
May we contact?
Please Select One
Yes
No
If No, why not?
Wages start
Wages final
Reason for leaving
What will this employer say was the reason your employment terminated?
How much notice did you give when resigning? If none, explain.
Current or Most Recent Employer
Name
Type Of Business
Phone Number
Job Title
Duties
Dates employed:
From: Year
Month
Please Select One
1
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To: Year
Month
Please Select One
1
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Supervisor's name
May we contact?
Please Select One
Yes
No
If No, why not?
Wages start
Wages final
Reason for leaving
What will this employer say was the reason your employment terminated?
How much notice did you give when resigning? If none, explain.
Please explain fully all gaps in your employment history in excess of one month.
Have you ever been terminated or asked to resign from any job?
Please Select One
Yes
No
If YES, how many times?
Please Select One
1
2
3+
Has your employment ever been terminated by mutual agreement?
Please Select One
Yes
No
If YES, how many times?
Please Select One
1
2
3+
Have you ever been given the choice to resign rather than be terminated?
Please Select One
Yes
No
If YES, how many times?
Please Select One
1
2
3+
If you answered YES to any of the above three questions, please explain the circumstances of each occasion.
Applicant Certification
I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver's license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.
I understand that Smith Oil Company, Inc. may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If Smith Oil Company, Inc. has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to Smith Oil Company, Inc.'s policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with Smith Oil Company, Inc.'s policies and applicable federal, state, and local law.
If employed by Smith Oil Company, Inc., I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.
I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.
THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, SMITH OIL COMPANY, INC. MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF SMITH OIL COMPANY, INC. IS AUTHORIZED TO ENTER INTO AN AGREEMENT - EXPRESS OR IMPLIED - WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY.
IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF SMITH OIL COMPANY, INC., AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.
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