This application is intended for use in evaluating your qualifications for employment. Please answer all appropriate questions completely and accurately. All qualified applicants will receive consideration without regard to race, color, creed, religion, age, national origin, sex sexual orientation, marital status, disability, genetic information, or any other protected group status. depending on the particular position to which you are applying, you may be requested to submit to various medical and/or drug screens and a background check if an employment offer is made. Any employment offer will be contingent upon successfully passing these screens. This is NOT an employment contract.
First Name (required)
Last Name (required)
Address Line 1 (required)
Address Line 2
(required)
State (required) MinnesotaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhodes IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip / Post Code (required)
Phone (required)
HomeCell
Email (required)
Are you 18 years of age or older? (required) YesNo
Are you either a U.S. citizen or an alien authorized to work in the U.S.? (required) YesNo
For which position(s) are you applying?
Start date available?
Wage rate desired
HourlyMonthlyAnnually
Are you able to work overtime? (required) YesNo
How did you learn about this opening?
Have you ever applied to or been employed with Mielke Oil Company, Inc. before? (required) YesNo
If yes, please provide dates and position
Do you have any supervisory experience? YesNo
If yes, please explain
High School
Name
Location
Graduated?YesNo
Course of study
Technical School? YesNo
Technical School
College/University? YesNo
College/University
Other education, training or special skills
Please list previous employment for the last five years, beginning with the most recent. Do NOT refer to resume.
Work Experience #1
Employer
City
From
To
Position held
Reason for Leaving
Supervisor's contact information
Title
Phone
May we contact? YesNo
Description of duties
Would you like to add another job to your work experience? YesNo
Work Experience #2
Work Experience #3
Work Experience #4
Please attach your resume if you would like us to take a look!
I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge.
I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record any my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.
I accept these terms
For any issues please contact support at 320-632-4085
Δ
First name
Last name
Email*
Subject
How can we help you?
