Virginia Oil Company Web Site - employment application

Virginia Oil Company Employment Application

Please complete the form below and hit "submit" to send it to us electronically or click on the links below for a printable application form that can be mailed or delivered in person.

Printable Application - Page 1 | Printable Application - Page 2

PLEASE COMPLETE ALL REQUESTED INFORMATION IN ITS ENTIRETY. RESUMES WILL NOT BE ACCEPTED IN LIEU OF COMPLETION OF APPLICATION.
PERSONAL:
Name:
SSN:
Address1:
Address2:
City / County:
State:
Zip Code:
Home Phone:
Business Phone:
Full Time Work?	Yes No
Part Time Work?	Yes No
Are you 21 or Older?	Yes No
Position Applied For:
Referred By:
Highest Level of Education & Name of School:
Years Attended:
WORK EXPERIENCE: (PLEASE LIST MOST RECENT EMPLOYMENT FIRST)
Listing 1
Starting Date:
Ending Date:
Name & Address of Employer:
Position (duties):
Starting Pay:
Ending Pay:
Reasons for Leaving:
Name, Title, & Phone Number of Immediate Supervisor:

Listing 2
Starting Date:
Ending Date:
Name & Address of Employer:
Position (duties):
Starting Pay:
Ending Pay:
Reasons for Leaving:
Name, Title, & Phone Number of Immediate Supervisor:

Listing 3
Starting Date:
Ending Date:
Name & Address of Employer:
Position (duties):
Starting Pay:
Ending Pay:
Reasons for Leaving:
Name, Title, & Phone Number of Immediate Supervisor:

List Special Skills / Education / Training:	type comment here
GENERAL INFORMATION:
1. Have you ever worked for Virginia Oil Company?	Yes No
2. Are you related to anyone employed by Virginia Oil Company?	Yes No
3. Have you ever been convicted (or found not innocent) of any criminal offense?	Yes No
4. Have you ever been dismissed or asked to resign from any job you have held?	Yes No
5. Do you have access to adequate transportation to travel to and from work?	Yes No
6. Are you willing to work at any Virginia Oil Location?	Yes No
7. How did you learn of our organization?
Please explain any "Yes" answers to questions 1-6:	type comment here
PERSONAL REFERENCES: (NO PAST EMPLOYERS OR RELATIVES)
Reference 1
Name and Address:
Phone Number:
Length of Time Known:

Reference 2
Name and Address:
Phone Number:
Length of Time Known:

Reference 3
Name and Address:
Phone Number:
Length of Time Known:
CERTIFICATION:
By submitting this form, I hereby certify that the facts set forth in the above application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be considered sufficient grounds for dismissal. You are hereby authorized to make any investigation of my personal history through any investigate agencies of your choice. I also understand and agree that my employment is for no definite period of time and may be terminated at any time in accordance with the policies and procedures of Virginia Oil Company.
Date Submitted:

Virginia Oil Company is an Equal Opportunity Employer and does not discriminate because of race, color, sex, religion, national origin, age, or handicap.