CC Propane Job Application
We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?
*
Yes
No
Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)
*
Yes
No
What was the last high school grade completed?
Ex: 12
Did you graduate high school?
Yes
No
Name of last high school attended
What was the last college year completed?
Ex: 4 or n/a
Did you graduate college?
Yes
No
N/A
What was your course of study in college?
Name of college attended
Other school attended
Vocational, Technical, Graduate
Major course studied
Did you graduate the other school attended?
Yes
No
Position applying for, be specific:
Please list any skills you have that are appropriate for the position you are applying
If required, will you work? Mark all that apply.
Rotating shifts
Overtime
Saturdays
Sundays
Salary requirements
Per hour OR Per month
State fully why you believe you are qualified for this position.
Interests/Accomplishments: You may wish to list significant experience, interests and accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position(s) you are seeking. Names or organizations designating religion, race, etc. need not be mentioned.
Date you can start
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Employment History
Starting with your PRESENT or MOST RECENT EMPLOYER, list in consecutive order ALL EMPLOYMENT for at least the past FOUR employers.
If currently employed, may we contact your employer?
Yes
No
Employer 1: Full Name of Company
Employer 1: Salary - Beginning and End
Employer 1: Employed From/To
Employer 1: Phone Number
-
Area Code
Phone Number
Employer 1: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer 1: Name and Title of Supervisor
Employer 1: Title of Your Position
Employer 1: Reason for Leaving
Employer 2: Full Name of Company
Employer 2: Salary - Beginning and End
Employer 2: Employed From/To
Employer 2: Phone Number
-
Area Code
Phone Number
Employer 2: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer 2: Name and Title of Supervisor
Employer 2: Title of Your Position
Employer 2: Reason for Leaving
Employer 3: Full Name of Company
Employer 3: Salary - Beginning and End
Employer 3: Employed From/To
Employer 3: Phone Number
-
Area Code
Phone Number
Employer 3: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer 3: Name and Title of Supervisor
Employer 3: Title of Your Position
Employer 3: Reason for Leaving
Employer 4: Full Name of Company
Employer 4: Salary - Beginning and End
Employer 4: Employed From/To
Employer 4: Phone Number
-
Area Code
Phone Number
Employer 4: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer 4: Name and Title of Supervisor
Employer 4: Title of Your Position
Employer 4: Reason for Leaving
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: