Application for Emplopyment

Submit Application + Resume

Please fill out completely and attach cover letter + resume at the form end.
EQUAL OPPORTUNITY EMPLOYER – We consider applicants for all positions without discrimination because of race, color, religion, sex, national origin, age, disability, or any other legally protected status. Please fill out this form completely to be considered for employment with Lin-Gas, Inc. (Hereinafter “Lin-Gas) This application will be valid for 60 days. If you have not been contacted in that time, complete another application. We are an equal opportunity employer, dedicated to non-discrimination in employment on the basis of race, color, age, religion, sex, national origin, handicap, disability or marital status. Law requires that you must be able to document that you are Authorized to Work in the United States to complete the hiring process. You may be required to have a medical examination by a physician selected by Lin-Gas as a condition of your hiring. You must notify Lin-Gas in writing of a need for accommodation for employment within 182 days after the need is known.

Step 1 of 3 - Personal Information

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Personal Information
Name*
First Last
Position Applying For
Are you currently subject to a Non-Compete Agreement with your existing or any previous employer?
If YES, please attach a copy of the agreement. If a copy of the document cannot be furnished, please explain the terms and conditions of the agreement in the notes box below.
Email*
Best Contact Phone*
Alternate Phone
Have you ever been convicted of any felony or misdemeanor?
You may omit traffic citations (e.g. speeding, illegal turns etc.) but you must include convictions for reckless driving or drinking and driving offenses.
If yes, please explain
Do you have any felony charges pending?
A prior conviction or pending felony arrest is not an absolute bar to employment but will be considered in light of the nature and circumstances of the offense, date of occurrence and the nature of the position sought. A false answer to this question, however, is an absolute bar to employment.
If yes, please explain
Have you applied here before?
If yes, when?
Additional Personal Info Notes

Education Details
Do you have a CDL?
If yes, which endorsements...
High School Attended
City, County, & State
Did you earn a diploma?
Undergraduate College Attended
City & State
Area of Study
Degree, Certificate, or Diploma
Graduate College Attended
City & State
Area of Study
Degree, Certificate, or Diploma
Trade, Business, or Other School
City & State
Area of Study
Degree, Certificate, or Diploma
Additional Education Notes

Employment History
Start with your present or most recent job and cover you last two jobs. Include any job-related military service assignments, self-employment, summer and part-time jobs.
Driver applicants must provide the following information on all employers in the past 3 years in order to drive in interstate commerce. Please list the complete mailing address, street number, city, state and zip code. Applicants to drive a commercial motor vehicle (includes vehicles having a GVWR or 26,001 lbs. or more, any size vehicle used to transport hazardous materials in a quantify requiring placarding) in intrastate and interstate commerce shall also provide an additional 7 years’ information on those employers for whom the applicant operated such vehicle.
Company 1
C1 Supervisor Name
C1 Phone
C1 Address
Street Address Address Line 2 City State ZIP Code
C1 Salary Start
C1 Salary End
C1 Duties & Responsibilities
C1 Reason for Leaving
C1 Professional References
C1 Driving Violations?
Were you subject to the Federal Motor Carrier Safety Regulations while employed by this employer?
Was this job designated as a “safety sensitive function” in any DOT-regulated mode subject to alcohol and drug testing requirements as required by 49 CFR Part 40
Company 2
C2 Supervisor Name
C2 Phone
C2 Address
Street Address Address Line 2 City State ZIP Code
C2 Salary Start
C2 Salary End
C2 Duties & Responsibilities
C2 Reason for Leaving
C2 Professional References
C2 Driving Violations?
Were you subject to the Federal Motor Carrier Safety Regulations while employed by this employer?
Was this job designated as a “safety sensitive function” in any DOT-regulated mode subject to alcohol and drug testing requirements as required by 49 CFR Part 40
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Additional Notes
Phone
This field is for validation purposes and should be left unchanged.

1-800-850-4380

Application for Emplopyment

Submit Application + Resume

Step 1 of 3 - Personal Information

Personal Information

Education Details

Employment History