Conico Oil Application

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Name
Address
How did you find out about this position?
Have you ever applied or worked for Conico Oil before?
Do you have any friends or relatives working for Conico Oil?
If hired, would you have a reliable means of transportation to and from work?
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
Disclaimer
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Convictions for marijuana-related offenses that are more than two years old need not be listed.)
Disclaimer

Education, Training and Experience

Name
Number Of Years Completed
Degree or Diploma?
Name
Number Of Years Completed
Degree or Diploma?
Name
Number Of Years Completed
Degree or Diploma?
Name
Number Of Years Completed
Certificate or License

Employment History

"List all present and past employment, starting with your most recent employer (last five years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching a resume."
Address
May we contact this employer for a reference?
Address
May we contact this employer for a reference?
Click or drag a file to this area to upload.
Max 20MB

References

List below three persons not related to you who have knowledge of your work performance within the last three years.
1. Name
Address
2. Name
Address
3. Name
Address

Please Read Carefully, Initial Each Paragraph and Sign Below

I hereby certify that I have not knowingly withheld any information that might adversely affect my Initials chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application.

I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize Conico Management, to thoroughly investigate my references, work record,education Initials and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure.

In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation ordisclosure.

I understand that nothing contained in the application, or conveyed during any interview which may Initials be granted or during my employment, if hired, is intended to create an employment contract between the Company and me.

In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company’s designated representative.

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by the Company.

I am entitled to copies of any such public records obtained by the Company unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.

Waiver
Clear Signature
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