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
    
   No

 

                                                            

 Are you legally eligible for employment in the United States?
   
 
Yes
    
 
No

                              

                                   

Are you at least 18 years of age?
   
Yes
   
No


                                           

Do you have a valid driver's license?
    
 
Yes
    
 
No

 

                   

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     
 
No
   

 

 
If yes, please explain:
 

  

                  

Did you graduate from high school?
      
 
 Yes        
 
No

 


*Name/Location of school:
 

 

    

If not, have you passed a high school equivalency or GED test?
                 
    
Yes
    
 
No

 

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
   
  No

 

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
    
 
No

 

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
   
No

 ;

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
   
 No

 

Name and title of supervisor:
 
Name and title of next higher supervisor:
 


Number of employees you supervise:
 

               


Primary duties:

                                                                     

     
Were you involuntarily discharged?
     
 
Yes
      
 
No

 

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
      
 
No

 

  

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
      
 
No

 

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
      
 
No

  

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
      
 
No


Reason for leaving or considering change:
 

 

        

Have you ever been suspended/discharged from any position?
   
Yes
   
No

   

 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:
 

 

       

         

 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.



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Email Address: *
By submitting this application you are indicating that you have read and understand all of the above.
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Oil-Rite Corporation