Online Job Application

This is not the original application required for employment. Prior to an offer of employment, a full employment application must be completed. All applicants will be submitted to a criminal and background check and drug screen.

Online Job Application

First Name*		Last Name*
Which store are you applying for? (List City and State)
City*		State*		Zip Code
Phone Number (Primary)*		Phone Number (Secondary)
Email
Position Desired		Hours Available		Days Available
Salary/Hourly Rate Expected
Do you have reliable transportation?			YesNo
Have you ever worked for VPS Convenience Store Group?			YesNo
If so, when and where?		Reason for Leaving
Please list previous employment starting with the most recent first.
Employer 1
Supervisor Name		Phone Number		Position Held
Rate of Pay		Starting Date		Ending Date
Reason for Leaving

Employer 2
Supervisor Name		Phone Number		Position Held
Rate of Pay		Starting Date		Ending Date
Reason for Leaving

Employer 3
Supervisor Name		Phone Number		Position Held
Rate of Pay		Starting Date		Ending Date
Reason for Leaving

May we contact all references?	YesNo
Have you ever been convicted of any crime? (If YES, describe below)	YesNo
Comments / Additional Info (Feel free to copy and paste your resume here)


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VPS Convenience Store Group

Online Job Application

Online Job Application

Please list previous employment starting with the most recent first.

Company Logos