Maverick Travel Center

Maverick Travel Center

EMPLOYMENT APPLICATION
1. Instructions for Completion

Hiring Process
Thank you for your interest in The MAVERICK TRAVEL CENTER . Our commitment to excellence begins with hiring the most qualified candidate. We want to provide you with information about The MAVERICK TRAVEL CENTER, to help you make an informed decision to apply. Before you begin the formal application process, please read this statement of basic standards and requirements. If you feel that you can comply, we welcome your application. Please acknowledge your understanding by signing your name on the line provided below. After signing section 1, proceed to section 2.

Substance Abuse
The MAVERICK TRAVEL CENTER provides a substance free workplace. All candidates may undergo blood or urinalysis testing to determine any level of a controlled substance. A confirmed positive drug test will result in disqualification or termination.

Background Checks
The MAVERICK TRAVEL CENTER will conduct an extensive background check which may include verification with schools, employers, other persons, criminal courts, credit bureaus, and other state or federal authorities. Falsification of information or failure to provide information can result in disqualification, or termination if discovered after hiring.

Employment Interviews
Several interviews may be conducted with you in order to determine if you are the best candidate and to provide more detailed information regarding your work history and qualifications.

Paper and Pencil Surveys
One or more surveys may be administered to determine your attitude and aptitude in job-related areas.

Answers and Responses
When completing the application, please write clearly and legibly. Answer every question applicable to the job for which you are applying. A resume may be attached, but does not substitute for completion of all questions on the application. Any unanswered questions may be considered a reason for rejecting your application. We intend to fully verify all information on your application. Be complete and accurate in your responses. Falsification or omission will lead to termination.

Customer Satisfaction
All of The MAVERICK TRAVEL CENTER Associates commit to wait on and serve our customers to the best of your abilities and in a friendly courteous manner, regardless of where each job is performed. What is most important above everything is ATTITUDE. A positive attitude is a very important aspect of being successful within our company.
Please Tick

I have read and understand the employee selection process utilized by The MAVERICK TRAVEL CENTER
Applicant’s signature
Date

DayMonthYear
2. Work Ethic and Work Standards
Are you willing to:

Work nights and some holidays when the rest of the world is at home?Work in a dynamic, noisy, sometimes hot and hectic environment, and keep a smile on your face and a warm greeting for all?Provide outstanding service to the customer?
Work nights and some holidays when the rest of the world is at home?
Work in a dynamic, noisy, sometimes hot and hectic environment, and keep a smile on your face and a warm greeting for all?
Provide outstanding service to the customer?
As you can see, we are looking for friendly, enthusiastic associates who really like helping people and working hard in a fast-paced, ever changing environment. If you are willing to accept this challenge, we will work just as hard as you.

Our philosophy has always been and will continue to be the “The Golden Rule”----Do unto others as you would have them do unto you.

Below are some of the working conditions at The MAVERICK TRAVEL CENTER. If you have any objections, please circle “No” and explain the nature of the objection. Note: An objection does not necessarily disqualify an applicant from consideration.

Would you be willing to:
Work overtime when needed?

YesNo
Work holidays (including Christmas)?

YesNo
Work a schedule that changes from week to week?

YesNo
Interrupt a break to help a customer?

YesNo
Be at work on time, every time?

YesNo
Report and remain drug and alcohol free?

YesNo
Be available for “last minute” schedule changes?

YesNo
Work in an environment that may sometimes be hot or cold, hectic and noisy?

YesNo
Rate yourself

Select the numbers that best describe you. One is average, five is excellent.

Rows	1	2	3	4	5
Friendliness:
Helpfulness:
Work Ethic:
Honesty:
Team Player:

Please explain any objections you may have to any of the conditions noted above, such as the desire for a part time schedule:
Date

MonthDayYear
Date
Name:

LastFirst Middle Maiden
Social Security No.:
Driver’s License No.:
Birthdate:
State
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone No.
or No. where you can be reached
If necessary, the best time to call you at home is:
May we contact you at work:

YesNo
work number to call:
Time
Date available for work:

MonthDayYear
Date
Are you legally authorized to work in the United States and have documentation verifying that authority?

YesNo
Position applied for
Second Preference:
Rate of pay expected:
Referral Source:

EmployeeWalk-inOther Explain:
Are you available to work:

Full TimePart TimeTemporary
Specify days
Specify hours
Preferred shifts (check all that apply)

Early MorningDayEvening
Do you realize it may be necessary for you to work a schedule based on our staffing needs?

YesNo
Is there any reason why you cannot work overtime, weekends, or holidays?

YesNo
Ideal number of hours you prefer to work?
What is the maximum no. hours?
What is the minimum no. hours?
What is your ideal schedule? (From)
What is your ideal schedule? (To)
Could you open?

YesNo
OR
Close?

YesNo
Explain any conflicts or special requirement
Are you related to anyone working here:

YesNo
To Whom:
In case of emergency, notify:
Have you ever been employed at The MAVERICK TRAVEL CENTER?

YesNo
Have you ever been convicted or charged with a felony or misdemeanor?

YesNo
Please explain:

Education

Rows	Name & Location of School	No. of Years Completed	Graduate? If “no” why?	Grade Average	Field/Major
Elementary
High School
College/University
Graduate School
Business, Technical GED, Other

List other experiences, qualifications, business skills, or technical training you may have received. (Include machines and speed)*
Military Service Record and Reserve Status
U.S. Armed Forces Record:

Air ForceArmyMarinesNavyCoast GuardNone
Serial No.:
Rank
DateInduction Date

MonthDayYear
Date
Discharge Date

MonthDayYear
Date
Military Reserve:

Air ForceArmyMarinesNavyCoast GuardAir National Guard of U.S.National Guard of U.S.None
Status:

ActiveInactiveStandbyRetired
Skills Used or Special Training:
Employment Record

Start with the most recent employment and list all the jobs you have held. Additional information may be placed on a separate sheet of paper and attached.
Record 1:
From

MonthDayYear
Date
To:

MonthDayYear
Date
Employer
Telephone (including area code)
Job Title
Address
Immediate Supervisor and Title
Describe the nature of work performed and job responsibilities
Reason for Leaving
Hourly Rate/Salary
Record 2:
From

MonthDayYear
Date
To

MonthDayYear
Date
Employer
Telephone (including area code)
Job Title
Address
Immediate Supervisor and Title
Describe the nature of work performed and job responsibilities
Reason for Leaving
Hourly Rate/Salary
Record 3:
From

MonthDayYear
Date
To

MonthDayYear
Date
Employer
Telephone (including area code)
Job Title
Address
Immediate Supervisor and Title
Describe the nature of work performed and job responsibilities
Reason for Leaving
Hourly Rate/Salary
Comments (Explain any gaps in employment)
May we contact the employers listed above or on your resume?

YesNo
Indicate which one(s) you do not wish us to contact:
References: List Personal References (other than relatives or former employers) who know your abilities.
I certify that the facts in this application are true and correct to the best of my knowledge, and I understand that any
misrepresentation of facts shall be cause for rejection of this application or termination of employment.

I hereby authorize The MAVERICK TRAVEL CENTER to conduct a work history and personal reference inquiry to determine my acceptability
for employment.

I further agree to a pre-employment blood and/or urinalysis test for controlled substance if so requested, and if hired, to
submit samples for such test whenever so requested by The MAVERICK TRAVEL CENTER . I also understand that during my first 90 days of
employment, if I test positive for any illegal substance or alcohol, I will be terminated.

If employed, I understand the first 90 days of my employment will be considered an initial employment assessment and
that employment may be terminated during this period by either employer and/or employee without prejudice; I understand
that my employment is for an indefinite period of time; and that employment may be terminated at any time for any reason.
The MAVERICK TRAVEL CENTER follows the Civil Rights Act of 1964 which prohibits discrimination in employment practice because of race, color,
religion, sex, national origin, or disability; PL 90-202 which prohibits discrimination because of age; section 504 of
The Rehabilitation Act of 1973, as amended, and the Americans Disabilities Act which prohibits discrimination on the basis
of disability.

I hereby represent and warrant that I have read and fully understand the foregoing, and seek employment under these
conditions of my own free will and in accordance with my own judgement.
Date

MonthDayYear
Date
Applicant’s Signature:
Should be Empty:

Maverick Travel Center

2. Work Ethic and Work Standards

Would you be willing to:

Rate yourself

Employment Record