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Careers

Online Application

PERSONAL INFORMATION


Full Name:

Address:


City: State: Zip Code:
Telephone Number (999-999-9999):


Have you ever worked for Road Ranger before?
Yes     No

If Yes:
From Date:   To Date:  
Position:       Division:  

Can present employer be contacted?
Yes     no

Were you referred by a Road Ranger employee?:
Yes     No

If Yes, by whom:    

Position or type of work preferred:
Full-time career store assistant manager
Full-time store clerk
Non-store position
Part-time store clerk


Desired starting pay:   $   per:   

How many hours per week do you desire to work?:  

During what times of the week are you available to work?:


I am willing to work:
Overtime    Nights    Weekends    Holidays

Date Available (MM/DD/YYYY):   

Are you at least 16 years old?
Yes     No

Are you at least 18 years old?
Yes     No

How did you find out about this job?
Newspaper    Referral    Other:   

If the job you are applying for requires driving:
Driver's License Number:   

State Issued:   

Expiration Date:   

Are you legally eligible for employment in the US?:    Yes     No
Proof of US Citizenship or immigration status will be required if hired.

Have you ever been convicted of a crime?:    Yes     No
If Yes, state the nature of the offense and disposition of the case. Include dates and places:

Note: Felony convictions or the existence of a criminal record do not constitute an automatic bar to employment.

List any friends or relatives employed by this company:
(Name, Relationship, Work Location)


Are you on layoff and subject to recall?
Yes    No

Have you ever been discharged or asked to resign from any position?
Yes    No

If yes, please describe when, where, and in what capacity:


How many days have you missed from school or work within the last year other than approved vacation, sick, or disability?   

How many days have you been late to school or work within the last year other than approved vacation, sick, or disability leave?   

Please describe:   

WORK EXPERIENCE


Name of Present or Last Employer:


Type of Business:


Address:


City: State:




Starting Date:

 Leaving Date:
Pay Rate to Start:

 Pay Rate Upon Leaving:
Name of Supervisor:

 Telephone Number of Supervisor:
Type of Job:
Full Time
Part Time

Job Title:

Job Description & Responsibilities:

Explain Reasons for Changing or Wanting to Change:


Were you Fired?    Yes    No

If we contact this employer, would you expect them to say they would rehire you for the position you last held there?    Yes    No
Please explain:


Name of Present or Last Employer:


Type of Business:


Address:


City: State:




Starting Date:

 Leaving Date:
Pay Rate to Start:

 Pay Rate Upon Leaving:
Name of Supervisor:

 Telephone Number of Supervisor:
Type of Job:
Full Time
Part Time

Job Title:

Job Description & Responsibilities:

Explain Reasons for Changing or Wanting to Change:


Were you Fired?    Yes    No

If we contact this employer, would you expect them to say they would rehire you for the position you last held there?    Yes    No
Please explain:


Name of Present or Last Employer:


Type of Business:


Address:


City: State:




Starting Date:

 Leaving Date:
Pay Rate to Start:

 Pay Rate Upon Leaving:
Name of Supervisor:

 Telephone Number of Supervisor:
Type of Job:
Full Time
Part Time

Job Title:

Job Description & Responsibilities:

Explain Reasons for Changing or Wanting to Change:


Were you Fired?    Yes    No

If we contact this employer, would you expect them to say they would rehire you for the position you last held there?    Yes    No
Please explain:


Name of Present or Last Employer:


Type of Business:


Address:


City: State:




Starting Date:

 Leaving Date:
Pay Rate to Start:

 Pay Rate Upon Leaving:
Name of Supervisor:

 Telephone Number of Supervisor:
Type of Job:
Full Time
Part Time

Job Title:

Job Description & Responsibilities:

Explain Reasons for Changing or Wanting to Change:


Were you Fired?    Yes    No

If we contact this employer, would you expect them to say they would rehire you for the position you last held there?    Yes    No
Please explain:


EDUCATION


Highest elementary or high school grade completed:
9    10    11    12    13    14    15    16

Did you graduate from high school:
Yes    No    GED

Name and location of college or university:


Dates Attended:
From: Month/Year To: Month/Year

Full-time    Part-time

Major Field of Study:


Degrees conferred:
Title: Date:

Hours Credit:



Name and location of college or university:


Dates Attended:
From: Month/Year To: Month/Year

Full-time    Part-time

Major Field of Study:


Degrees conferred:
Title: Date:

Hours Credit:


MILITARY SERVICE

Are you a veteran?
Yes    No

If yes, what branch?

Dates of Service:


Special Training:


M.O.S. Please describe:


SKILLS AND EXPERIENCE


Please list any special qualifications, training, education, skills, or experience that you feel warrant consideration by the company


Please list any equipment operating abilities (i.e., 10-key, calculator, cash register, typewriter, personal computer, etc.) that you have which might be useful on the job for which you are applying.


By checking the signature box below, I certify that I have read and understand all parts of this application for employment and certify that I have truthfully and completely answered all questions. I understand that falsification of any of the information given herein, or on any other employment form, is grounds for immediate termination, regardless of when such falsification may be discovered.

I authorize Road Ranger and its authorized representatives to investigate my education and employment experience and all other aspects of my background relevant to my proposed employment, including all statements made by me in my application for employment. I understand Road Ranger may contact the appropriate credit bureau to obtain an investigative consumer report providing information about my character; I understand I may request (in writing from the Personnel Department) a complete and accurate disclosure of information concerning the nature and scope of this report. I also release Road Ranger and its authorized representatives, as well as any person to whom such inquiry is directed, from any liability arising directly or indirectly from any such investigations.

I understand my employment may be terminated at any time, with our without cause, at the option of either Road Ranger or myself. I understand that no employee or representative of Road Ranger has any authority to make any agreement which is contrary to the foregoing.

If accepted for employment, I agree to comply with all company policies and procedures, and with all rules and regulations made know at the time of employment or any other time thereafter; and to perform all duties assigned to me to the best of my ability.

Upon termination of my employment for whatever reason, I release this company Road Ranger from all liability for supplying any information concerning my employment to any potential employer. I understand and expressly agree that, if employed by the company, storage areas provided for me (locker, desk, etc.) are open to investigation or search by the company without prior notice to me. I further understand this is an application for employment and that no employment contract is being offered. I have read and understand the above.

Electronic Signature:   

If follow-up is requested or required, I prefer to be contacted by:
E-mail     Telephone     US Mail