Application for Employment

Wessels Oil Company

421 Railroad Avenue
Palmer, IA 50571

712.359.7712
APPLICATION FOR EMPLOYMENT

Wessels Oil Company is an Equal Opportunity Employer. All applicants will be considered without regard to age, race, national origin, religion, disability, sex, or other protected status in accordance with applicable federal and state equal opportunity laws. Should an applicant need reasonable accommodations in the application process, he or she should contact a company representative.
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
What job position are you applying for?*
Date Available*

MonthDayYear
Date
Desired Pay:*
HourlySalary
Employment Desired*

Full-timePart-timeOver-timeSeasonal

BACKGROUND CHECK CONSENT
If asked, are you willing to consent to a background check?*

YesNo
DISCLAIMER
I, the Applicant, certify that the facts set forth in the Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in the application and release the employer from any liability. The employer may contact any references on the application.

I, the Applicant, acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice of the other party.

I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

APPLICATION FOR EMPLOYMENT