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Application for Employment

Oil-Rite Corporation

Oil-Rite Corporation is committed to the equality of opportunity for all people. It is the policy of Oil-Rite corporation to provide equal employment opportunities for all individuals, on the basis of their skills, abilities, and qualifications, without regard to race, color, national origin, religion, political affiliation, sex, age, disability, marital status, arrest or conviction record, sexual orientation, disabled veteran or covered veteran status, membership in the National Guard, or any other reserve component of the United States or State military forces.

Please answer all questions completely. Incomplete applications may be rejected.

General Section

Today's Date:

Title of Position you are applying for:

*Desired salary:

Full Time

Part Time

Temporary/Limited Term Employment

Last Name:

*First Name:

*Middle Initial:

Street Address:

City:

State:

Zip:

Business Phone:

Home Phone:

Cell Phone:

May we contact you at your business phone number?

Yes

Are you legally eligible for employment in the United States?

Yes

Are you at least 18 years of age?

Yes

Do you have a valid driver's license?

Yes

When will you be available for employment?

List any relatives employed by Oil-Rite Corporation:

Oil-Rite Corporation may prohibit employment of an individual if he/she would be directly supervising or receiving direct supervision from a family member

List any memberships in professional or technical associations:

Current license or registration as a member of a trade of profession:

Have you ever been convicted of a felony?

Yes

If yes, please explain:

Did you graduate from high school?

Yes

*Name/Location of school:

If not, have you passed a high school equivalency or GED test?

Yes

Location and date of test:

Training beyond high school:

College, university, or schoool attended (name and location):

Start date (month/year)

End date (month/year)

Are you presently attending?

Yes

Major field:

Type of degree (if received)

GPA

;

College, university, or school attended (name and location):

Start date (month/year)

End date (month/year)

Are you presently attending?

Yes

Major field:

Type of degree (if received):

GPA:

College, university, or school attended (name and location):

Start date (month/year):

End date (month/year)

Are you presently attending?

Yes

;

Major field:

Type of degree (if received):

GPA:

Start date (month/year):

Describe any education or training you have had which is nto covered above, such as vocational school, computer or correspondence courses, service schools, inservice training. Please provide dates:

Employment Section

You must complete the employment section of this application. You may send a resume to hroilrite@oilrite.com to further explain your qualifications, but this section of the online application needs to be complete.

Employer 1

From (Month/year):

To (month/year):

Hours each week:

Title of your present/most recent position:

Employer's Name (company name)

Address:

Phone Number:

Full Time

Part Time

Temporary

Starting Salary:

Present Salary

If we contact your present employer, will your position be endangered?

Yes

Name and title of supervisor:

Name and title of next higher supervisor:

Number of employees you supervise:

Primary duties:

Were you involuntarily discharged?

Yes

Reason for leaving or considering change:

Employer 2

From (Month/year):

To (month/year):

Hours each week:

Title of position held:

Employer's Name (company name)

Address:

Phone Number:

Full Time

Part Time

Temporary

Starting Salary:

Ending Salary:

Name and title of supervisor:

Name and title of next higher supervisor:

Number of employees you supervise:

Primary duties:

Were you involuntarily discharged?

Yes

Reason for leaving or considering change:

Employer 3

From (Month/year):

To (month/year):

Hours each week:

Title of position held:

Employer's Name (company name)

Address:

Phone Number:

Full Time

Part Time

Temporary

Starting Salary:

Ending Salary:

Name and title of supervisor:

Name and title of next higher supervisor:

Number of employees you supervise:

Primary duties:

Were you involuntarily discharged?

Yes

Reason for leaving or considering change:

Employer 4

From (Month/year):

To (month/year):

Hours each week:

Title of position held:

Employer's Name (company name)

Address:

Phone Number:

Full Time

Part Time

Temporary

Starting Salary:

Ending Salary:

Name and title of supervisor:

Name and title of next higher supervisor:

Number of employees you supervise:

Primary duties:

Were you involuntarily discharged?

Yes

Reason for leaving or considering change:

Employer 5

From (Month/year):

To (month/year):

Hours each week:

Title of position held:

Employer's Name (company name)

Address:

Phone Number:

Full Time

Part Time

Temporary

Starting Salary:

Ending Salary:

Name and title of supervisor:

Name and title of next higher supervisor:

Number of employees you supervise:

Primary duties:

Were you involuntarily discharged?

Yes

Reason for leaving or considering change:

Have you ever been suspended/discharged from any position?

Yes

If yes, please explain

Authorization and Certification

Please read and check off each of the following statements. If you have a question regarding any of these statements, ask a Human Resources representative prior to checking and signing the application. Your check mark and signature below verify that you have read, understand and agree to abide by these statements.

I certify that all statements made on or in connection with my application are true, complete and correct to the best of my knowledge and belief. I understand and agree that any misstatements or omissions of material fact subject me to disqualification or, if hired, dismissal.

I authorize any person contacted to provide Oil-Rite corporation any and all information regarding any employment, education, and other information concerning any of the subjects covered by the application which may include but not be limited to: application of employment; performance evaluations; work records; wage rates; supervisors' comments; results to any and all tests; disciplinary reports or letters; and complaints or allegations regarding any misconduct. I agree to execute release authorization forms as required by Oil-Rite Corporation to request employment records from my present and/or former employer(s). I release and hold harmless Oil-Rite Corporation their officers, agents, and employees, and the person(s) providing the information, from any liability, related to the providing of this information

I understand that I may be required to successfully pass a drug test and/or pre-employment physical exam to gain employment or continue employment with Oil-Rite Corporation. I consent freely and voluntarily to participate in required drug tests and/or pre-employment physical exam at a location selected by Oil-Rite Corporation, and consent to the release of the test results to Oil-Rite Corporation. I hereby release and hold harmless Oil-Rite Corporation their officers, agents, and employees, and the laboratory, their employees, agents, and contractors from any liability whatsoever arising from the drug tests and/or pre employment exam and decisions concerning employment based upon the results of these tests.

I authorize Oil-Rite Corporation, it's officers, agents, and employees to conduct a background criminal check prior to making a decision regarding employment. I release and hold harmless Oil-Rite Corporation, their officers, agents, and employees, and the person(s) providing the information from any liability, related to the performance or result of the check.

If accepted for employment, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time at will without any previous notice. Oil-Rite Corporations' at will status cannot be changed by anyone other than the Chairman of the Board and President.

Thank you for your interest in Oil-Rite Corporation. For your information, our policy keeps all applications on file as "active" for six months, after which the application is discarded. All applicants are welcome to update applications on a regular basis to keep them active.

Please print your name. This serves as signature acknowledging your agreement to the above.

Applicant's Name (signature of agreement):

Date:

All fields that apply are required.
Email Address:	*
	By submitting this application you are indicating that you have read and understand all of the above.
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