James E. Kimball, Jr., Inc.’s policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical, or mental disability, or veteran status.
List any specific licenses or certifications:
DRIVING RECORD (Answer only if driving is a requirement of the job for which you are applying).
In the following question, the reference to DUI/DWI includes OUI. You are only required to list convictions within the past 5 years.
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. James E. Kimball, Jr., Inc. (“Kimball Fuel”) is hereby authorized to make any investigations of my prior educational and employment history and, in conjunction therewith, I fully release Kimball Fuel from any and all liability resulting from the verification process.
I understand that employment at Kimball Fuel is “at will,” which means that either I or Kimball Fuel can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of Kimball Fuel, other than the president, has any authority to alter the foregoing. I further acknowledge that, prior to starting employment, I will be provided with several company policies and an Employee Handbook which shall not be construed as a contract and are subject to unilateral change by Kimball Fuel