Name
*
Address
*
City / State / Zip
*
Phone
*
E-mail
*
Are you legally eligible for employment in the USA?
*
Yes
No
State age if under 18 or over 70
What method of transportation will you use to get to work
*
Position(s) applied for
*
Rate of weekly pay expected
*
Were you previously employed by us?
*
Yes
No
If so, when?
List any friends or relatives working for us, other than spouse
Are there any other experiences, skills, or qualifications which you feel would especially fit you for work with our organization?
If your application is considered favorably, on what date will you be available for work?
*
For Convenience Store and Service Station Positions Only - Please check appropriate box(es):
Availability:
Monday
Morning (5AM-11AM)
Afternoon (11AM-5PM)
Evening (5PM-Close)
Tuesday
Morning (5AM-11AM)
Afternoon (11AM-5PM)
Evening (5PM-Close)
Wednesday
Morning (5AM-11AM)
Afternoon (11AM-5PM)
Evening (5PM-Close)
Thursday
Morning (5AM-11AM)
Afternoon (11AM-5PM)
Evening (5PM-Close)
Friday
Morning (5AM-11AM)
Afternoon (11AM-5PM)
Evening (5PM-Close)
Saturday
Morning (5AM-11AM)
Afternoon (11AM-5PM)
Evening (5PM-Close)
Sunday
Morning (5AM-11AM)
Afternoon (11AM-5PM)
Evening (5PM-Close)
Check this box if you can be available for any shift, any days
Yes, I can be available
Which Locations?
Hollywood Shell
Korner Karryout
Charlotte Hall BP
Prince Frederick Shell
Leonardtown Shell
Mechanicsville BP
Charlotte Hall Shell
Rt 228 BP
Attach resume
*
Cover Letter
Please type the correct verification code in the text box provided
*