First Name: **REQUIRED
Last Name: **REQUIRED
Your Phone: **REQUIRED
Cell Phone:
Email Address: **REQUIRED
Street Address:
City:
State:
Zip:
Country:
Date Available to Start: [Format: YYYY-MM-DD] Example: for June 01, 2010, enter 2010-06-01 If available now, enter todays date.
Salary Requirement
[Please add whether this is per year, month, day or hourly wage.]
Position desired:
If you are under age 18 and we require a work permit, can you furnish one?
YES
NO
If NO, please explain:
Have you ever worked for Banko Petroleum Management or a subsidiary?
YES
NO
Are you a citizen of the United States?
YES
NO
If not, are you legally allowed to work in the United States?
YES
NO
Type of employment desired:
Full Time
Part Time
Temporary
Seasonal
Have you ever pleaded guilty, no-contest, or been convicted of a crime?
NO
YES
If YES, give dates and details:
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Summarize Your Skills or Qualifications: [250 characters]
Previous Employment Record, starting with most recent employment
Company Name:
Starting Date of Employment: [Format: YYYY-MM-DD] If you are not sure about the day, just enter -00.
Ending Date of Employment: [Format: YYYY-MM-DD]
Job Position held at this company:
Company City:
Company Phone:
Supervisors Last Name:
Supervisors First Name:
Supervisors Title
Summarize Your Responsibilities at this Company:
Starting Salary
[Please note whether this is per year, month, day or hourly wage.]
Ending Salary
[Please note whether this is per year, month, day or hourly wage.]
Starting Job Title:
Ending Job Title:
Reason for leaving:
May we contact this employer for a reference?
YES
NO
Prior Employment
Company Name:
Starting Date of Employment: [Format: YYYY-MM-DD]
If you are not sure about the day, just enter -00.
Ending Date of Employment: [Format: YYYY-MM-DD]
Job Position held at this company:
Company City:
Company Phone:
Supervisors Last Name:
Supervisors First Name:
Supervisors Title:
Summarize Your Responsibilities at this Company:
Starting Salary
[Please note whether this is per year, month, day or hourly wage.]
Ending Salary
[Please note whether this is per year, month, day or hourly wage.]
Starting Job Title:
Ending Job Title:
Reason for leaving:
May we contact this employer for a reference?
YES
NO
Other Employment
Company Name:
Starting Date of Employment: [Format: YYYY-MM-DD] If you are not sure about the day, just enter -00.
Ending Date of Employment: [Format: YYYY-MM-DD]
Job Position held at this company:
Company City:
Company Phone:
Supervisors Last Name:
Supervisors First Name:
Supervisors Title
Summarize Your Responsibilities at this Company:
Starting Salary
[Please note whether this is per year, month, day or hourly wage.]
Ending Salary
[Please note whether this is per year, month, day or hourly wage.]
Starting Job Title:
Ending Job Title:
Reason for leaving:
May we contact this employer for a reference?
YES
NO
How were you referred to us?