Laughlin Oil Co. Employment Application

This form provides us with some basic information to contact you.

Please provide the following contact information:

First Name Last Name

Street Address

Address (cont.)

City State Zip

Work Phone Home Phone

E-mail

Are you interested in working at one of our retail stations:

Yes

No

When are you available to work?

Mornings yes no

Days yes no

Evenings yes no

Nights yes no

Weekends yes no

Education completed:

High School Some College BA or BS

Enter any other comments:

Copyright © 2008 Laughlin Oil Co All rights reserved.
Revised: December 10, 2008

First Name				Last Name
Street Address
Address (cont.)
City			State		Zip
Work Phone				Home Phone
E-mail
Are you interested in working at one of our retail stations:
	Yes
	No
When are you available to work?
	Mornings	yes	no
	Days	yes	no
	Evenings	yes	no
	Nights	yes	no
	Weekends	yes	no

Education completed:
	High School	Some College	BA or BS

Enter any other comments:

Copyright © 2008 Laughlin Oil Co All rights reserved. Revised: December 10, 2008