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Employment
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Online Application
ONLINE APPLICATION
Application for Employment
Non-discrimination Statement
Suburban Natural Gas Company (the Company) is an equal opportunity employer.
Applicant Information
Date of Application
*
MM slash DD slash YYYY
How Did You Hear About This Position?
*
I.E., Newspaper, Indeed, Zip-recruiter, Referral, Etc.
Name
*
First
Middle
Last
Present Address:
*
Street Address
Address Line 2
City
State
ZIP/ Postal Code
Previous Address (If less than 10 years at current address):
Street Address
Address Line 2
City
State
ZIP/ Postal Code
Phone Number:
Phone Number:
Email:
Availability
Position Applied For:
*
Full-Time
Part-Time
Specify days and hours for which you are available:
Date Available to Begin Work:
MM slash DD slash YYYY
Desired Salary:
Are you willing to relocate?
Yes
No
Are you willing to travel?
Yes
No
Work Eligibility
If hired, the Company will require proof of eligibility to work in the United States, as required by law.
Are you legally authorized to work in the United States?
*
Yes
No
Are you 18 years of age?
*
Yes
No
Past Experience with the Company
Have you ever previously applied with the Company?
*
Yes
No
Please specify the dates:
Have you ever been previously employed by this Company?
Yes
No
Please specify the date(s) and position(s) held:
Education
Education History
Click all that apply to your education history.
High School
College
Trade, Business, or Correspondence School
High School: Name and Location
High School: Did you graduate?
Yes
No
College: Name and Location
College: Did you graduate?
Yes
No
College: What did you study?
Trade, Business, or Correspondence school: Name and Location
Trade, Business, or Correspondence school: Did you graduate?
Yes
No
Trade, Business, or Correspondence school: What did you study?
Employment History
Start with your current or most recent employer.
1. Employer
Address
Street Address
Address Line 2
City
State
ZIP/ Postal Code
Phone
Job Title
Supervisor
2. Employer
Address
Street Address
Address Line 2
City
State
ZIP/ Postal Code
Phone
Job Title
Supervisor
United States Military Experience
Please describe any job-related military training or experience in the United States armed forces:
Prior Name(s)
Is there information relative to your name, such as a name change or nickname used, that the company should know to conduct check on your employment history?
Yes
No
Please indicate any other name(s) used:
References
Please list two individuals who are familiar with your work.
Name
First
Phone
Name
First
Phone
Confirmation
Consent
*
PLEASE READ CAREFULLY BEFORE SIGNING THIS STATEMENT
I authorize the Company to investigate all statements in this application and to secure any
appropriate information from all of my employers and references, except as I have otherwise
indicated in this application. I hereby release all of those employers and references, and the
Company from any and all liability arising from their giving or receiving information about my
employment history, my academic credentials or qualifications, and my suitability for employment
with the Company.
I understand that any offer of employment is contingent upon receipt of a satisfactory check of my
background, which may include, but is not limited to, my academic credentials and employment
references.
I further understand that any false or misleading statements or material omissions will be sufficient
cause for rejection of my application or termination of my employment.
I understand that nothing in this employment application is intended to create an employment
contract between the Company and me. No promises regarding employment have been made to me,
and I understand that no such promise or guarantee is binding upon the Company unless it is made
in writing and signed by a Company officer. I understand that if an employment relationship is
established, I have the right to terminate my employment at any time for any reason. I also
understand that the Company retains the right to terminate my employment at any time for any
reason, consistent with applicable law.
I hereby acknowledge that I have read and understand this Applicant Statement.
I understand and agree to the terms and conditions.
E-Signature
*
Date
*
MM slash DD slash YYYY
Resume
*
Please attach your resume to your application here:
Max. file size: 5 MB.
Cover Letter
*
Please attach your cover letter to your application here:
Max. file size: 5 MB.
Additional Documentation or Certifications
If you have any additional documents you would like to attach with your application please upload it here:
Max. file size: 5 MB.
Untitled
Name
This field is for validation purposes and should be left unchanged.
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