Employment Opportunities

Looking for a rewarding career in the Central Connecticut area? Join the team at Dutch Oil & Propane! Positions include fuel delivery drivers, heating service technicians, and office staff. We are always interested in hearing from hardworking, customer-focused individuals in our community who are eager for new opportunities. If this sounds like you, feel free to fill out the employment application on this page or mail in the printed version.

VIEW/Download PDF APPLICATION

APPLICATION FOR EMPLOYMENT

Position Desired(Required)

Position(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

RECORD OF PREVIOUS EMPLOYMENT

Please list the names of your present or previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service, and any period of unemployment. If self-employed, give firm name and supply business references. You may include any verified work performed on a volunteer basis.

Present or Last Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date

End Date

Your Title or Position

Name and Title of Last Supervisor

Reason for Leaving

Previous Employer #2

Previous Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date

End Date

Your Title or Position

Name and Title of Last Supervisor

Reason for Leaving

Previous Employer #3

Previous Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date

End Date

Your Title or Position

Name and Title of Last Supervisor

Reason for Leaving

Have you ever been terminated or asked to resign from any job?(Required)

Explain the circumstances:

Please explain fully any gaps in your employment history:

May we contact your current employer?(Required)

If not, please explain:

Please indicate any actual experience, special training and qualifications that you have which you feel are relevant to the position for which you are applying, including all current certifications as well as any other special technical qualifications.(Required)

Have you ever used another name?(Required)

Is any additional information relative to change of name, use of an assumed name, or nickname necessary to enable a check on your work and educational record? If yes, please explain:

If hired, can you furnish proof that you are over 18 years of age?(Required)

Are you eligible to work in the U.S.?(Required)

EDUCATION

High School

School Name(Required)

Years Completed(Required)

Diploma / Degree

Describe Specialized Training, Experience, Skills and Extra-Curricular Activities(Required)

College/University

School Name

Years Completed

Describe Course of Study / Major

Diploma / Degree

Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

Graduate/Professional

School Name

Years Completed

Describe Course of Study / Major

Diploma / Degree

Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

Trade or Correspondence

School Name

Years Completed

Describe Course of Study / Major

Diploma / Degree

Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

Other

School Name

Years Completed

Describe Course of Study / Major

Diploma / Degree

Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

PERSONAL REFERENCES

Please list persons who know you well – not relatives

Name

Occupation

Phone

Number of Years Known

Address

Street Address City State

Personal Reference #2

Name

Occupation

Phone

Number of Years Known

Address

Street Address City State

Personal Reference #3

Name

Occupation

Phone

Number of Years Known

Address

Street Address City State

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF NINETY (90) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION AND THE ACCOMPANYING DOCUMENTS IS TRUE, COMPLETE AND ACCURATE

Date

Signature

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