Team Lead - Employment Application

Thank you for your interest in joining Vexxil Retail Operations, a division of Vexxil Energy! Please complete all sections of this application. All information will be treated confidentially.

Upload Your Resume and Additional Files Here (optional)

Are you legally eligible to work in the United States?

Are you at least 18 years of age?

Full Name

Address

City/State/Zip

Phone Number

Social Security Number

Please check all available days and times that you could be scheduled:

Additional Information and/or Scheduling Requests

Date Available to Start:

Education:

Years Completed

Degree/Certificate

Education(additional):

Years Completed (additional)

Degree/Certificate(additional)

Employment History (List up to 3 Previous Employers):

Employer Address

Job Title

Start Date

End Date

Main Job Responsibilities

Supervisor Name and Phone #

Reason For Leaving

Employer 2

Employer 2 - Address

Employer 2 -- Job Title

Employer 2 -- Start Date

Employer 2 - End Date

Employer 2 -Main Job Responsibilities

Employer 2 -Supervisor Name and Phone #

Employer 2 -Reason For Leaving

Employer 3

Employer 3 - Address

Employer 3 - Job Title

Employer 3 - Start Date

Employer 3 - End Date

Employer 3 - Main Job Responsibilities

Employer 3 - Supervisor Name and Phone #

Employer 3 - Reason For Leaving

Authorization

I certify that the information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any and all information listed above.