Employment Application | Ressler Propane

Current Personal
Employment Data
Education
Military Service
Work History
Certification & Signature
Reference Verification Form
Complete

We are an equal opportunity employer. All applicants are considered without regard to race, color, religion, disability, sex, national origin, age (for those age 40 or over), or any other basis protected by federal, state, or local law. This employment application is only active for 30 days. After this time period a separate employment application must be submitted in order to be considered for employment.

Date

First Name

Middle

Last Name

Street Address

City

State

ZIP Code

Phone Number

Email Address

How did you find out about this job?

Newspaper

Referral

Other

If Other, please specify:

If hired, do you have a reliable means of transportation to get to work?

Yes

What is it?

Minimum salary expected

Are you at least 18 years old?

Yes

Driver Information

Driver’s License No.

State

Expiration Date

Complete this section only if you are applying for a driving or service tech position.

Are you legally eligible for employment in the U.S.?

Yes

Proof of U.S. citizenship or immigration status will be required if hired.

Have you been convicted of a crime?

Yes

If yes, state the nature of the offense and disposition of the case. Include dates and places.

NOTE: The existence of a criminal record does not constitute an automatic bar to employment.