(937) 437-2821

Employment Opportunities

We offer diverse employment opportunities at our propane company, including customer service, sales, operations, and logistics roles.

Application For Employment

This company does not discriminate on the basis of race, religion, national origin, sex, age, marital or veteran status, disability or medical condition, or any other legally protected status.

First Name *

Last Name *

Middle Name

Nickname

Email Address *

Phone *

Address

City

State

Zip

How long at current address?

If less than 5 years at address, list previous addresses

Address

City

State

Zip

How long?

Address

City

State

Zip

How long?

Address

City

State

Zip

How long?

Position Applying for *

Salary Requirements

Hours available to work

Are you over 17 years of age?

Are you a US Citizen?

Have you ever been convicted of a felony?

(Such a conviction will not necessarily disqualify you for the position you are applying for.)

If yes, give details

Do you have any relatives currently working for the company?

If yes, give details

Education

High School

Name

Address

Years Completed

Diploma/GED

Technical School

Name

Address

Course of Study

Years Completed

Degree

College

Name

Address

Course of Study

Years Completed

Degree

List specialized training, apprenticeships, study courses, seminars, industry classes, etc.

Future Education Plans (Where? When? What course?)

Employment History

List ALL previous employers including military services. Please list your present or most recent job first.

If presently employed, may we contact your employer?

Employer #1

Employer

Dates Employed - From/To

Address

Wage/Salary - Starting/Final

Major Responsibilities or job functions

Phone Number

Job Title

Supervisor

What did you like most about this position?

Least?

Employer #2

Employer

Dates Employed - From/To

Address

Wage/Salary - Starting/Final

Major Responsibilities or job functions

Phone Number

Job Title

Supervisor

What did you like most about this position?

Least?

Employer #3

Employer

Dates Employed - From/To

Address

Wage/Salary - Starting/Final

Major Responsibilities or job functions

Phone Number

Job Title

Supervisor

What did you like most about this position?

Least?

References

Please list any references you feel would be able to give information pertinent to this position. Please indicate whether you prefer these references to be contacted before or after your interview(s) with this company. Do not include previous employers or family members.

Reference #1

Name

Phone

Address

Reference #2

Name

Phone

Address

Reference #3

Name

Phone

Address

Driving Record

This section must be completed by all driving applicants. All driving applicants must be 21 years or over, and meet all requirements prescribed by the Department of Transportation.

Driver Licenses

State

License No.

Type

Exp. Date

State

License No.

Type

Exp. Date

State

License No.

Type

Exp. Date

Driving Experience

Straight Truck

Dates - From/To

Approx. No. Miles (Total)

Tractor & Trailer

Dates - From/To

Approx. No. Miles (Total)

Automobile

Dates - From/To

Approx. No. Miles (Total)

Other

Dates - From/To

Approx. No. Miles (Total)

Safe Driving Awards - When/From Whom

Driving Record For Past Three Years

Please list any vehicular accidents, traffic convictions, and/or license forfeitures.

Date

Nature of Accident/Charge

Location/City

Fatalities/Injuries

Charge/Penalty

Date

Nature of Accident/Charge

Location/City

Fatalities/Injuries

Charge/Penalty

Date

Nature of Accident/Charge

Location/City

Fatalities/Injuries

Charge/Penalty

Authorization To Obtain Consumer Report

I hereby authorize the Company to procure consumer reports as it deems appropriate. I further authorize the release of this information by any party or agency. If hired, this authorization shall remain on file and shall serve as ongoing authority for the company to procure consumer reports at any time during my period of employment. (THIS DISCLOSURE AND AUTHORIZATION IS MADE IN COMPLIANCE WITH THE FAIR CREDIT REPORTING ACT.)

IMPORTANT NOTE TO APPLICANT: Do not answer the question below unless you have been informed about the requirements of the job for which you are applying.

Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied? A description of the activities in such a job or occupation is available upon request.

Substance Abuse Test Consent and Release by Employee

I hereby consent to administration of drug and/or alcohol testing at the request of Hometown/HisWay partners, Inc. without further consent by me. I consent to the collection of test samples through urine, blood, breath and saliva by Collectors selected by Hometown/HisWay partners, Inc., to the analysis of such samples by laboratories and medical providers selected by Hometown/HisWay partners, Inc. and by any medical providers which provide care or treatment to me for any reason.

I authorize such laboratories and medical providers to release all information pertaining to such testing; including test results, to Hometown/HisWay partners, Inc.

I release such laboratories, medical providers, Hometown/HisWay partners, Inc. and all of their respective employees and agents from all liability relating to such testing and test results and from all liability relating to the release of testing information and results as authorized herein.

I understand that my refusal to undergo drug and/or alcohol testing will result in disciplinary action up to and including termination of employment. I further understand that the results of any drug and/or alcohol test, or may refusal to submit to a drug and/or alcohol test, may affect my eligibility for workers compensation and benefits under Chapters 4121 and 4123 of the Ohio Revised Code.

A copy of this Consent and Release may be used in place of the original.

Pre-Employment Statement

I certify that the answers given herein are true and complete to the best of my knowledge.

I authorize the investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision, Including an investigative consumer report.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applicants are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false.or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer, that as a condition of my employment, I will be required to sign a Confidentiality and Non-Solicitation Agreement or, if hired for a management level position, a Confidentiality, Goodwill, and Non-Solicitation Agreement, and that I will be subject to the Employer's pre-employment and random drug testing policy.

Cover Letter

Resume