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Employment Contact Blueox Energy

HOW TO APPLY - FILL IN THE APPLICATION BELOW or,
APPLY IN PERSON AT YOUR NEAREST CONVENIENCE STORE, OUR MAIN OFFICE or,
ATTACH YOUR RESUME

APPLICATION FOR EMPLOYMENT

Corporate Office: 38 North Canal St., Oxford, NY 13830

 

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

 

Position Applied For: Date of Application:
Days Available:
S M T W T F S
Hours Available:
Date available to Start:
How did you hear about Blueox?
Advertisement Friend Inquiry
Employment Agency Relative Other:

Last Name: First Name: Middle Name:
Address: City: State: ZIP:
Email Address: Phone Number:

Are you over 18 years of age? Yes   No
 
Have you been employed by us before? Yes   No
If yes, give date , What Location , Under any other name
 
Do you have any relatives working for Blueox? Yes   No
If yes, state name, relationship and location
 

EDUCATION:
School Name & Location of School Course of Study Years Completed Diploma / Degree
High School Yes No
College Yes No
Business, Trade, Technical Yes No
Other (Specify) Yes No

WORK EXPERIENCE:
Starting with your present or most recent job, provide details from your last three employers.
 
Employer 1:
Dates Employed:
Address:
Ending Pay Rate:
Telephone Number:
Duties Performed:
Job Title:
Supervisor:
Reason For Leaving:
May We Contact: Yes No
 
Employer 2:
Dates Employed:
Address:
Ending Pay Rate:
Telephone Number:
Duties Performed:
Job Title:
Supervisor:
Reason For Leaving:
May We Contact: Yes No
 
Employer 3:
Dates Employed:
Address:
Ending Pay Rate:
Telephone Number:
Duties Performed:
Job Title:
Supervisor:
Reason For Leaving:
May We Contact: Yes No

Describe any specialized training, US Military, skills and extracurricular activities.

List professional qualifications, licenses, certificates, trade, business or civic activites and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.

ADDITIONAL INFORMATION
State any additional information you feel may be helpful to us in considering your application.

PERSONAL / PROFESSIONAL REFERENCES
Must have known for at least 1 year. Do not include family members.
Name Address Phone Affiliation
1.
2.
3.

PLEASE ENSURE THAT YOU HAVE COMPLETED ALL SECTIONS OF THIS APPLICATION

I certify that all information given on this application and any supporting information is true and complete and I authorize a complete investigation in arriving at an employment decision. I agree that, if hired, I may be discharged if Blueox Corporation, at any time learns of any falsification or material omission in the information I have provided and, if discovered prior to hire, I would be ineligible for consideration for not only this position but future positions as well. I authorize the Company to contact all former and current employer references listed and all educational institutions. All references are authorized to release all information requested which they might have about me. I hereby release this Company and all references from any liability which might be claimed because of information provided by such references.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this Company is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by a written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this Company. I further understand that certain positions are subject to a pre-employment drug and alcohol screening, and that in such instances actual employment is contingent upon successful completion of said screenings. It is the right of Blueox Corporation to conduct random testing as deemed appropriate. Further information regarding screenings are detailed in the employee handbook.

I understand the Company is committed to promoting safety and high standards of employee performance, productivity and reliability. I authorize, without reservation, any party or agency contacted by this employer or its agent to furnish the above mentioned information.

    I have read and agree to the terms and conditions above.



   
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