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 33% Personal InformationName* First Last Position Applying ForAre you currently subject to a Non-Compete Agreement with your existing or any previous employer?choose one...YesNoIf 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 PhoneHave you ever been convicted of any felony or misdemeanor?choose...YESNOYou 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 explainDo you have any felony charges pending?choose...YESNOA 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 explainHave you applied here before?choose...YESNOIf yes, when?Additional Personal Info Notes Education DetailsDo you have a CDL?choose...YESNOIf yes, which endorsements...choose...Hazardous Materials EndorsementHazmat Air Brake EndorsementHigh School AttendedCity, County, & StateDid you earn a diploma?choose...YESNOUndergraduate College AttendedCity & StateArea of StudyDegree, Certificate, or DiplomaGraduate College AttendedCity & StateArea of StudyDegree, Certificate, or DiplomaTrade, Business, or Other SchoolCity & StateArea of StudyDegree, Certificate, or DiplomaAdditional Education Notes Employment HistoryStart 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 1C1 Supervisor NameC1 PhoneC1 Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code C1 Salary StartC1 Salary EndC1 Duties & ResponsibilitiesC1 Reason for LeavingC1 Professional ReferencesC1 Driving Violations?Were you subject to the Federal Motor Carrier Safety Regulations while employed by this employer?choose...YESNOWas 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 40choose...YESNOCompany 2C2 Supervisor NameC2 PhoneC2 Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code C2 Salary StartC2 Salary EndC2 Duties & ResponsibilitiesC2 Reason for LeavingC2 Professional ReferencesC2 Driving Violations?Were you subject to the Federal Motor Carrier Safety Regulations while employed by this employer?choose...YESNOWas 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 40choose...YESNOUpload Cover Letter/Resume Drop files here or Accepted file types: doc, docx, pdf, txt, gif, jpg, jpeg, png. Additional NotesNameThis field is for validation purposes and should be left unchanged.
