Personal Information:

*Name:
Address:
 
City:
State:
ZIP:
*Phone1:
Phone2:
Phone3:
*E-Mail:
*Reenter E-Mail:
 
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Required fields are marked with a red *, and are shaded blue.


We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state, or local law.

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General Information:

*Position applied for:
*Full Time:
*Part Time:
If Part Time, Hours/Week:
Seasonal/Temp.:
Available Date:
 
 
Referred by:
Do you have a relative working for Osterman Propane? Yes:     No:
If so, relative's name:
 
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? Yes:     No:     Not Applicable:
Are you 18 years or older? Yes:     No:
Have you ever been convicted of a felony? Yes:     No:
If Yes, please explain:
(a conviction may not disqualify you,
but a false statement will.)

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Required fields are marked with a red *, and are shaded blue.


We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state, or local law.

All content © OstermanGas.com 2013 | Report any problems to info@ostermangas.com


Educational Background:

Type of School Name/Location Years
Completed		 Type of Diploma or Degree Major/Minor
Fields of Study		 Overall
GPA
High School
Technical, Vocational, or Business School
Undergraduate College
Graduate College

Scholastic or Other Honors:
List any specialized training, apprenticeship, skills, liscenses, and extracurricular activities (CDL Liscense with endorsements, etc.):

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Required fields are marked with a red *, and are shaded blue.


We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state, or local law.

All content © OstermanGas.com 2013 | Report any problems to info@ostermangas.com


Employment History:

Please list all part-time and full-time positions beginning with your current or most recent.


Name of Employer:Phone:
Address:Supervisor's Name:
Position:Reason for Leaving:
Employed From:Starting Salary:
Employed To:Ending Salary:
Responsibilities:
 May we contact:  Yes:     No:

 Were you subject to Federal Motor Carrier Safety Regulations while employed here? Yes:     No:

 Was the job designated as a "safety sensitive function" position in any DOT-regulated mode subject to alcohol and drug testing requirements per 49CFR?  Yes:     No:

Name of Employer:Phone:
Address:Supervisor's Name:
Position:Reason for Leaving:
Employed From:Starting Salary:
Employed To:Ending Salary:
Responsibilities:
 May we contact:  Yes:     No:

 Were you subject to Federal Motor Carrier Safety Regulations while employed here? Yes:     No:

 Was the job designated as a "safety sensitive function" position in any DOT-regulated mode subject to alcohol and drug testing requirements per 49CFR?  Yes:     No:

Name of Employer:Phone:
Address:Supervisor's Name:
Position:Reason for Leaving:
Employed From:Starting Salary:
Employed To:Ending Salary:
Responsibilities:
 May we contact:  Yes:     No:

 Were you subject to Federal Motor Carrier Safety Regulations while employed here? Yes:     No:

 Was the job designated as a "safety sensitive function" position in any DOT-regulated mode subject to alcohol and drug testing requirements per 49CFR?  Yes:     No:


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Required fields are marked with a red *, and are shaded blue.


We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state, or local law.

All content © OstermanGas.com 2013 | Report any problems to info@ostermangas.com


Documents:

If you wish, you can type or paste your coverletter and/or resume into the fields below:


Coverletter:
Resume:

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Required fields are marked with a red *, and are shaded blue.


We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state, or local law.

All content © OstermanGas.com 2013 | Report any problems to info@ostermangas.com


References:

Please list three business or professional references we may contact:


Name:Company:Phone:Occupation/Title:
1.
2.
3.

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Required fields are marked with a red *, and are shaded blue.


We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state, or local law.

All content © OstermanGas.com 2013 | Report any problems to info@ostermangas.com


Submit Your Application:

Please review and verify all the information you have entered, then click the "SEND" button.



SEND

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We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state, or local law.

All content © OstermanGas.com 2013 | Report any problems to info@ostermangas.com