ULUKE

* Required Field

Employment Application

*Position applying for:
*Location applying for:

*First Name:
*Last Name:
*Street Address:
*City:
*State:
*Zip Code:
*Phone Number:
Email Address:
Have you ever worked for Luke Oil before?:	Yes No
If so, when?:	to
Position?:
Have you ever applied at Luke Oil before?:	Yes No
If so, when?:
Can present employer be contacted?:	Yes No
Do you have reliable transportation?:	Yes No
Were you referred by a Luke Oil Employee?:	Yes No
If so, whom?:
* Desired starting pay($)?:	Per Hour Per Week
* How many hours per week do you want to work?:
* Are you willing to work?: (check all that apply)	Nights Overtime Weekends Holidays
* When could you begin work?:
Are you at least 16 years old?	Yes No
Are you at least 18 years old?	Yes No

* Did you graduate from high school or earn a GED?:	Yes No
Did you graduate from college, university, business, or trade school?:	Yes No
Name and location of college, university, business or trade school
Major field of study:
Degree earned:
Hours credit

Name of present or last employer
Type of business
Street Address
City
State
Dates of employment	to
Starting salary
Leaving salary
Job title
Name of supervisor
Explain reasons/circumstances for changing or wanting to change jobs
If we contact this employer, would you expect them to say they would rehire you for a position you last held there?	Yes No
If no, please explain.
Employer's phone number

Name of employer prior to above
Type of business
Street Address
City
State
Dates of employment	to
Starting salary
Leaving salary
Job title
Name of supervisor
Explain reasons/circumstances for changing or wanting to change jobs
If we contact this employer, would you expect them to say they would rehire you for a position you last held there?	Yes No
If no, please explain.
Employer's phone number

Have you ever been convicted of or pled 'No Contest' to a crime involving theft, dishonesty, violence, drugs, or endangerment of persons or property, whether resulting in incarceration, probation, or a suspended or deferred sentence? *	Yes No
Conviction of a crime will not necessarily disqualify you from consideration for employment.

Attach resume file