Lomira: Golden Oil Company - Proud American Company in Wisconsin

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Our Location

665 East Ave.
Lomira, WI. 53048

Ph: (920) 269-7621

Fax: (920) 269-8387

Taco Bell

Hunt Bros. Pizza

Wisconsin Cheese

Coffee Bar

BP Gas

Propane

Lomira Employment Application

To be considered for a position, please complete the employment application:

Contact Us

WHERE APPLYING?

WHERE ARE YOU APPLYING?

For which are you applying? (check one or all)

Convenience Store

Taco Bell

Free Text

APPLICANT INFO

First Name

Middle Initial

Last Name

Street Address

City

State

Zip

Phone

Position Applied For

Date Available

Desired Salary

Availability

PERSONAL INFO

PERSONAL INFO

Are you a citizen of the United States?

Yes

No

If not, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?

Yes

No

If yes, from when to when?

Ever convicted of a felony?

Yes

No

If yes, explain:

Are you 18 years of age or older?

Yes

No

Do you have any food handling experience?

Yes

No

EDUCATION

EDUCATION

High School

High School Address

Date Started

Date Ended

Did you graduate?

Yes

No

College

Degree

Did you graduate?

Yes

No

PREV. EMPLOYMENT

PREVIOUS EMPLOYMENT

Employer Name

Job Title

Phone Number

Date Started

Date Ended

Responsibilities

Starting Salary

Ending Salary

Reason for leaving?

Supervisor

Use as reference?

Yes

No

NEXT PREV. EMPLOYMENT

NEXT PREVIOUS EMPLOYMENT

Employer Name

Job Title

Phone Number

Date Started

Date Ended

Responsibilities

Starting Salary

Ending Salary

Reason for leaving?

Supervisor

Use as reference?

Yes

No

Thank you for contacting us.

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Contact Info

Golden Oil Company, LLC
1170 22nd Ave. 2nd Floor
Somers, WI 53140
Phone: (262) 425-1675
Fax: (262) 425-1676

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