ESI Job Application

ESI Total Fuel Management Job Application

ESI Total Fuel Management Job Application

Maximum upload size: 33.55MB
Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
If under the age of 18, can you produce the necessary work certificate at the time of employment?
Type of employment desired?
Are you willing to work overtime?
Have you previously applied for employment with ESI Total Fuel Management?
Have you ever been employed by ESI Total Fuel Management?

Education

High School
High School
City
State/Province
Zip/Postal
Did you graduate?
College
College
City
State/Province
Zip/Postal
Did you graduate?
Graduate/Professional
Graduate/Professional
City
State/Province
Zip/Postal
Did you graduate?
Trade or Technical
Trade or Technical
City
State/Province
Zip/Postal
Did you graduate?

Work Experience

Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Provide information for at least the most recent ten (10) year period. Attach additional sheets if needed. If selfemployed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment. Do not answer "see résumé."
May we contact?
Were you ever disciplined?

Work Experience

May we contact?
Were you ever disciplined?
Have you ever been terminated or asked to resign from any job?
Has your employment ever been terminated by mutual agreement?
Have you ever been given the choice to resign rather than be terminated?

Work Related References

Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.

Personal References

Please list the names of personal references (not previous employers or relatives) who you know that we may contact.

Driving Information

Please complete this section only if driving is an essential function of the job for which you are applying.
Do you have a current valid driver's license?
Has your license ever been suspended or revoked?
Do you have personal automobile insurance?
Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?

Traffic Violations

Please list all moving traffic violations in the past five (5) years:

APPLICANT CERTIFICATION

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver's license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to the Company's policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state, and local law. If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.
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