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Button Oil Company

PO Box 8
122 S. Main Rd.
Mountain Top, PA 18707

Employment Application

It is of the utmost importance that all information given on this application be accurate. It is our policy to verify information regarding an applicant’s background, including but not limited to such items as dates of employment, salary progressions, and reasons for leaving present and/or previous employment.

Upon completion please email completed application to

Please Print or Type All Information.


Note: Upon request, prior to commencement of employment, you must provide documents that establish your identity and authorization to work in the United States.
(If your answer is yes, you must supply working papers if hired)


Position Applied For
Date Available
Salary Requirement


Employment History

Professional References

Telephone Number


City, State
Number of Years Completed
High School
Business or Vocational School
Graduate or Other School

Skills Summary

Professional Memberships

Applicant Statement Please Read Carefully

I hereby certify that all of the information provided by me in this application (or any other details or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Button Oil that such employment is at will, for no specified duration and may be terminated at any time, with or without cause. I understand that none of the documents, policies, procedures, actions, statements of Button Oil or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Button Oil has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of Button Oil.

In consideration for employment, if employed, I agree to conform to the rules, regulations, policies and procedures of Button Oil at all times and understand that such obedience is a condition of employment.

I understand that if offered a position, I may be required to submit to a pre-employment medical examination, drug screening, background check, and/or credit check as a condition of employment. I understand those unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I hereby authorize, any and all schools, former employers, references, courts, and any others who have information about me to provide such information to Button Oil and/or any of his representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

I understand that this application is considered current for six months. If I wish to be considered for employment after six months from completion of this application form, I will need to complete a new application form.

By signing below, I acknowledge that I have read, understand and agree to the above statements.