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Thank you for you interest in QuikStop!
Please answer all questions on this application, giving complete answers.

PERSONAL INFORMATION
Name
 		Telephone
Street Address
 		Soc. Sec. #
City
 		State
 		Zip
 		Date
E-mail Address
 

Are you 18 or older?
YES    NO   If NO, how old are you?
Are you authorized to work in the U.S.?
YES    NO
  What prompted you to apply at Quikstop?
Newspaper     Sign           Friend/Relative     School Placement Office
Job Fair         Current Quikstop Associate (Name)
Internet        Quikstop     Other (Specify)
Which QuikStop location are you interested in employment?

MISCELLANEOUS
During the past 7 years, have you ever been convicted of a crime? Yes     No
  If yes, please describe below
Do you have reliable transportation to work? Yes     No
  Do you have a valid drivers license? Yes     No
 

EDUCATION
 

School

 Name & Location

Last Year Completed

Graduate?

 Major
High School 1 2 3 4

Yes No

 
College
 
 		 1 2 3 4
 

Yes No
 


 

AVAILABILITY
 
Part Time
Full Time
Mon Tue Wed Thu Fri Sat Sun
From
To

WORK HISTORY
  May we contact your present employer (if any) about this application? Yes     No
 
 
Name, Address, and Phone # of employer

Dates of Employment

 Hourly Rate/Salary
Starting-Final		 Job Title/
Work Performed		 Supervisor's Name
 From
 To
 Starting
Final
 From
 To
 Starting
Final
 From
 To
 Starting
Final

REFERENCES - Please list 3 people you've worked for that can speak about your employment performance
 

Name

Address

Phone Number

ADDITIONAL INFORMATION
 

   Why are you interested in getting a job with QuikStop Oilube?

APPLICANT'S STATEMENT - Please read and sign
I understand that all employees of QuikStop Oil Change are employees at will and that the employment relationship can be terminated at any time, with or without cause, at either the option of the employee or the option of QuikStop Oil Change.

I specifically authorize QuikStop Oil Change to obtain any and all employment records, reports, information, data, or copies thereof, from any of my previous empolyers listed above; and I further specifically authorize any previous employers to provide QuikStop Oil Change such information that in any way relates to my employment history and performance.

By clicking 'Submit My Application' you are electronically signing this application and agreeing to all terms within this application as well as confirming that all of the information provided is true to the best of your knowledge.

Notice to applicant - We are an equal opportunity employer. In compliance with federal and state equal opportunity laws, qualified applicants are considered for all positions without regard to race, color, sex, national origin, age, military status, or disability, as defined by federal and state law.

Thanks you again for your interest in working at QuikStop! If we have an opening we feel you might be able to fill, a manager will contact you. We will keep this application under consideration for 30 days. After 30 days, if you are still interested, you will need to reapply.