Employment Application

Job Application

Step 1 of 7 – Job Confirmation

You are currently submitting an application for the position of: Fuel Delivery Driver

Your Personal Information

Legal Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone(Required)

Date Available(Required)

When are you available to start?

MM slash DD slash YYYY

Are you a citizen of the United States(Required)

Yes

Have you ever worked for this company?(Required)

Yes

Have you ever been convicted of a felony?(Required)

Yes

Are you authorized to work in the U.S.?(Required)

Yes

If so, when?(Required)

Please explain your felony(Required)

Best Time To Call You(Required)

When is the best time for us to reach you via telephone?

Education History

Do you have any formal education degree or certification to list?(Required)

Yes

Education 1 Details

Institution Name

Degree Certification Type

Graduation Date

MM slash DD slash YYYY

Need to add a second degree?

Yes

Education 2 Details

Institution Name 2

Degree Certification Type 2

Graduation Date 2

MM slash DD slash YYYY

Need to add a third degree?

Yes

Education 3 Details

Institution Name 3

Degree Certification Type 3

Graduation Date 3

MM slash DD slash YYYY

Employment History

Do you have any previous employment history to list?(Required)

Yes

Job Details 1

Company Name(Required)

Job Title / Position(Required)

Start Date(Required)

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Reason for leaving

Supervisor Name

Phone

May we contact this previous employer?(Required)

Yes

Need to add second Job?(Required)

Yes

Job Details 2

Company Name 2(Required)

Job Title / Position 2(Required)

Start Date 2(Required)

MM slash DD slash YYYY

End Date 2

MM slash DD slash YYYY

Reason for leaving 2

Supervisor Name 2

Phone 2

May we contact this previous employer?(Required)

Yes

Need to add a third job?(Required)

Yes

Job Details 3

Company Name 3(Required)

Job Title / Position 3(Required)

Start Date 3(Required)

MM slash DD slash YYYY

End Date 3

MM slash DD slash YYYY

Reason for leaving 3

Supervisor Name 3

Phone 3

May we contact this previous employer?(Required)

Yes

Need to add a fourth job?(Required)

Yes

Job Details 4

Company Name 4(Required)

Job Title / Position 4(Required)

Start Date 4(Required)

MM slash DD slash YYYY

End Date 4

MM slash DD slash YYYY

Reason for leaving 3

Supervisor Name 4

Phone 4

May we contact this previous employer?(Required)

Yes

Need to add a fifth job?(Required)

Yes

Job Details 5

Company Name 5(Required)

Job Title / Position 5(Required)

Start Date 5(Required)

MM slash DD slash YYYY

End Date 5

MM slash DD slash YYYY

Reason for leaving 5

Supervisor Name 5

Phone 5

May we contact this previous employer?(Required)

Yes

Need to add a sixth job?(Required)

Yes

Job Details 6

Company Name 6(Required)

Job Title / Position 6(Required)

Start Date 6(Required)

MM slash DD slash YYYY

End Date 6

MM slash DD slash YYYY

Reason for leaving 6

Supervisor Name 6

Phone 6

May we contact this previous employer?(Required)

Yes

Resume/CV Upload

Please upload your resume or CV (optional)

Please upload your resume/CV

Submitting your resume is not required but is encouraged.

Accepted file types: pdf, Max. file size: 10 MB.

References

Please list three professional references

Reference 1(Required)

First Name

Last Name

Relationship

Phone Number

Reference 2(Required)

First Name

Last Name

Relationship

Phone Number

Reference 3(Required)

First Name

Last Name

Relationship

Phone Number

Do you have military service?(Required)

Yes

Military Service

Please fill in your military service. Thank you for your service.

Military Branch(Required)

Enlistment Start(Required)

MM slash DD slash YYYY

Enlistment End(Required)

MM slash DD slash YYYY

Rank at Discharge

Type of Discharge

Please Explain OTH Discharge

Application Certification and Agreement

Please read and acknowledge the following terms before submitting this application to Colby & Gale:

1. Certification of Truthfulness: I certify that all information contained in this application, my resume, and any supplemental materials is true, complete, and correct to the best of my knowledge. I understand that any false, misleading, or incomplete statements made by me will be grounds for rejection of my application or immediate termination, regardless of when the error is discovered.
2. Employment-at-Will: I understand and agree that, if hired by **Colby & Gale**, my employment is for an indefinite term and is **at-will**, meaning either I or the Company may terminate the employment relationship at any time, with or without cause or notice, unless otherwise required by law.
3. Background Check Consent: I authorize **Colby & Gale** to investigate all statements made on this application, and to perform a full background check, including verification of employment, education, and professional references.
4. Data Consent: I consent to the collection and processing of my personal data for the purpose of assessing my suitability for employment with **Colby & Gale**.

Consent(Required)

I agree to the Application Certification and Agreement above

Employment Application Form