Employee Information Request

Non Driver

If you are interested in applying for one of our other companies: Speedy Stop (convenience stores), Speedy Check (check cashing), Wendy's or Subway, please see www.speedystop.com for more information.
*Required Fields

How did you hear about us?


 

For what position are you applying?



 
Personal Information
*First Name  
 Middle Name
*Last Name  
*Street Address  
*City  
*State  
*ZipCode  
*Telephone Number   (area code + number)  
*Email Address  
Can current employer be contacted?
Do you have reliable transportation?
Were you referred by a Thomas Petroleum employee?
If so, by whom?
*Desired starting pay ($)  
 
 
Work Experience
Begin with current or most recent employer
Employer
Street Address
City State, Zip
Telephone Number   (area code + number)
Dates of Employment   (mm/dd/yy) to
Starting salary ($) to Leaving salary ($) to
Job Title
Supervisor
Job Duties
Reason for leaving/termination
Will this employer say you are eligible for rehire?
If no, please explain
 
Employer
Street Address
City State, Zip
Telephone Number   (area code + number)
Dates of Employment   (mm/dd/yy) to
Starting salary ($) to Leaving salary ($) to
Job Title
Supervisor
Job Duties
Reason for leaving/termination  
Will this employer say you are eligible for rehire?
If no, please explain
 
Employer
Street Address
City State, Zip
Telephone Number   (area code + number)
Dates of Employment   (mm/dd/yy) to
Starting salary ($) to Leaving salary ($) to
Job Title
Supervisor
Job Duties
Reason for leaving/termination
Will this employer say you are eligible for rehire?
If no, please explain
 
Legal
Have you ever been convicted of or plead 'no contest' to a crime other than a routine traffic violation?
If yes, date of conviction or plea   (mm/dd/yy)
Please Explain
Conviction of a crime will not necessarily disqualify you from consideration for employment.
 
If you have an electronic resume, you may select it here to submit it with your application:
 
*Authorization
 

   

   

 

 

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