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Job Application
Below is our job application, please fill out and submit. Questions marked with an ‘*‘ are required.
Basic Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State
ZIP
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Home Phone
*
Cell Phone
*
Email
*
Are you licensed to drive a car?
*
Yes
No
Are you 18 years of age or older?
*
Yes
No
Education
What High School did you attend?
*
Did you graduate?
*
Yes
No
What college did you attend?
*
Did you graduate?
*
Yes
No
Other (Name and Type)
*
Desired Position
What position are you applying for?
*
What is the wage desired?
*
State
*
Please select
TEXAS
NEW MEXICO
MISSOURI
OKLAHOMA
Please Select Your Branch
*
Please select
ABILENE, 4143 N 1ST
ALICE, 418 E MAIN
ALPINE, 201 W HOLLAND AVE
ALVIN, 2625 S BYPASS 35, STE 185
AMARILLO, 3101 S Western St, Unit 6
ANDREWS, 119 N MAIN ST
ATHENS, 607 E Tyler St, Ste 110B
ATLANTA, 414 E MAIN ST
AUSTIN, 6602 S CONGRESS AVE
BAYTOWN, 3402 N MAIN ST
BEAUMONT, 75 N 11TH ST
BEEVILLE, 312 N WASHINGTON ST
BIG SPRING, 1901 B GREGG ST
BRADY, 114 N BLACKBURN
BRECKENRIDGE, 606-A W WALKER
BRENHAM, 1509 S MARKET ST
BROWNFIELD, 419 W MAIN ST
BROWNSVILLE, 831 E WASHINGTON
BROWNSVILLE, 943 N EXPRESSWAY, STE. 21
BROWNWOOD, 205 E BAKER ST
BRYAN, 810 E VILLA MARIA RD
CARRIZO SPRING, 205 N 5TH ST
CARTHAGE, 307 W SABINE ST
CENTER, 120 Austin St, Ste B, PO BOX 1288
CHILDRESS, 2113 Ave F NW
CLEBURNE, 1652-F W HENDERSON ST
CLEVELAND, 132 TRULY PLAZA
CLUTE, 105 W PLANTATION DR
CONROE, 2017 N FRAZIER ST, STE. G8B
CORPUS CHRISTI, 4316 AYERS
CORSICANA, 206 N BEATON
CROCKETT, 1003 E LOOP 304
DEL RIO, 522 S MAIN ST
EAGLE PASS, 385 E MAIN ST
EDINBURG, 721 S CLOSNER BLVD, Ste A
EDINBURG, 1103-A E UNIVERSITY
EL PASO, 201 S AMERICAS AVE, STE. 103
EL PASO, 3910 DONIPHAN DR, STE D
EL PASO, 4301 MONTANA, STE. C & D
EL PASO, 1850 HUNTER, STE 108
ELSA, 701 E EDINBURG AVE, P.O. BOX 1160
ENNIS, 206 W Knox St
FLORESVILLE, 540 10TH ST, #122
FT. STOCKTON, 1111 W Dickinson, Ste B
GALVESTON, 2323 BROADWAY ST
GONZALES, 413 ST. JAMES ST
GRANBURY, 1323 N PLAZA DR
HARLINGEN, 522 S 77 SUNSHINE STRIP, STE A
HEBBRONVILLE, 610 N SMITH AVE, #6
HENDERSON, 515 HIGHWAY 79 S
HEREFORD, 233 MAIN ST
HILLSBORO, 125 E ELM ST
HONDO, 2529 19TH ST
HUMBLE, 8840 WILL CLAYTON PKWY, STE C
HUNTSVILLE, 1308 Sam Houston Ave, Ste A
JACKSONVILLE, 1734 S JACKSON ST
JASPER, 331 South Wheeler St
KERRVILLE, 1406 Sidney Baker
KILLEEN, 2006 E RANCIER AVE, STE 800
KINGSVILLE, 225-A KLEBERG AVE
LA JOYA, 245 W Expressway 83, Unit 2
LAMESA, 1014 N DALLAS AVE
LAREDO, 2100 CORPUS CHRISTI ST, STE 12
LAREDO, 4501 MCPHERSON AVE, STE. 15A
LEAGUE CITY, 816 W MAIN ST
LEVELLAND, 802 Austin St
LIBERTY, 800 N MAIN ST, STE B1
LIVINGSTON, 321 D W CHURCH ST
LOCKHART, 301 S COMMERCE ST
LONGVIEW, 306 N SPUR 63
LUBBOCK, 1812 AVE Q
LUFKIN, 535 S CHESTNUT, STE B
MARSHALL, 105 W BURLESON ST
MCALLEN, 1422 DALLAS ST
MERCEDES, 928 W 2ND ST
MEXIA, 1335 E Milam, Ste D
MIDLAND, 3312 W ILLINOIS AVE
MINEOLA, 201 W Broad St
MINERAL WELLS, 1100 SE FIRST ST, STE. E
MISSION, 1000 N CONWAY, STE. B
MONAHANS, 1502 S STOCKTON AVE, STE 2
MT. PLEASANT, 311 N JEFFERSON
NACOGDOCHES, 2203 NORTH ST
NEW BOSTON, 310 Paul Dr
ODESSA, 2805 ANDREWS HWY
ORANGE, 1104 N 16th St, Ste C
PALESTINE, 321 E SPRING ST, STE 107A
PAMPA, 2115 N Hobart St
PARIS, 204 North Collegiate Drive
PASADENA, 1717 SHAVER ST
PEARSALL, 212 S OAK ST
PHARR, 1101 N CAGE, STE. 5-A
PLAINVIEW, 628 BROADWAY
PLEASANTON, 1612 B W OAKLAWN
RAYMONDVILLE, 222 W HIDALGO AVE, STE 3
RIO GRANDE CITY, 115 N BRITTON AVE
ROSENBERG, 1912 AVE H, STE C
ROUND ROCK, 2003 N MAYS ST, STE. 101
SAN ANGELO, 20 N HOWARD, STE B
SAN ANTONIO, 600 BANDERA, STE. #1
SAN ANTONIO, 612 SW MILITARY DR
SAN ANTONIO, 1247 SW MILITARY DR
SAN ANTONIO, 1328 SW MILITARY DR
SAN ANTONIO, 1533 AUSTIN HWY, STE 104
SAN ANTONIO, 2342 E Southcross Blvd
SAN ANTONIO, 3138 SE MILITARY DR, STE 110
SAN ANTONIO, 3534 FREDERICKSBURG, STE. 18
SAN BENITO, 259 N SAM HOUSTON BLVD
SAN MARCOS, 101 W SAN ANTONIO ST, #D
SEGUIN, 550 N HWY 123 BYPASS, #190
SEMINOLE, 204 S MAIN
SILSBEE, 265 HIGHWAY 327 E
STEPHENVILLE, 110 S COLUMBIA
SULPHUR SPRINGS, 109 LINDA DR, STE. B
SWEETWATER, 815 LAMAR ST, STE C
TAYLOR, 208 N MAIN ST
TEMPLE, 8 EAST CENTRAL ST
TERRELL, 357 S VIRGINIA
TEXARKANA, 3807 N STATELINE AVE
TYLER, 5825 Old Bullard Road #100
UVALDE, 115 W NOPAL ST
VERNON, 3719 WILBARGER ST
VICTORIA, 705 E RIO GRANDE
WACO, 2404 W WACO DR
WEATHERFORD, 1406 S MAIN ST
WESLACO, 512 S TEXAS BLVD
WICHITA FALLS, 1800 Kemp Blvd
WICHITA FALLS, 4708 K Mart Drive, Ste H
WOODVILLE, 1103 S MAGNOLIA
ZAPATA, 1802 N US HWY 83, PO BOX 695
Please Select Your Branch
*
Please select
ALAMOGORDO, 618 10TH
ALBUQUERQUE, 933 San Mateo Blvd NE, Ste 200
ALBUQUERQUE, 3765 ISLETA BLVD SW, STE G
CLOVIS, 1412 N PRINCE
GALLUP, 1047 US Hwy 491, Ste A
GRANTS, 600 N 1st St
LAS CRUCES, 1061 N SOLANO
LOS LUNAS, 1910 Main St, STE C
ROSWELL, 1010 S MAIN ST, STE. 3
Please Select Your Branch
*
Please select
JOPLIN, 2914 E 32ND ST, STE. 112A
LEBANON, 212 W COMMERCIAL ST
MONETT, 600 DAIRY ST, STE. G
NEOSHO, 404 S NEOSHO BLVD, STE. A
NEVADA, 110 W Walnut St
SPRINGFIELD, 2307 S CAMPBELL AVE
WEST PLAINS, 1508 IMPERIAL CTR
Please Select Your Branch
*
Please select
ALTUS, 900 N MAIN ST, STE. A
ANADARKO, 203 W Main St.
ARDMORE, 707 GRANDE AVE
COLCORD, 3426 HIGHWAY 412
DEL CITY, 4531 SE 29TH ST
DUNCAN, 51 N HWY 81
DURANT, 122 1/2 W EVERGREEN
EL RENO, 116 N BICKFORD
ENID, 111 E BROADWAY
EUFAULA, 319 N MAIN ST
GUYMON, 509 N MAIN ST
HUGO, 1114 E JACKSON ST, SUITE A
IDABEL, 2108 E WASHINGTON, STE A
JAY, 129-C N. MAIN ST, P.O.BOX 386
LAWTON, 2926 NW CACHE RD
MIAMI, 701 E STEVE OWENS BLVD
MOORE, 312 N BROADWAY ST
MUSKOGEE, 103 W BROADWAY
OKLAHOMA CITY, 7804 S WESTERN AVE
PONCA CITY, 212 E CENTRAL AVE
POTEAU, 1009 N BROADWAY ST
PRYOR, 108 SE 9th St
STILLWATER , 212 N. MAIN ST.
TAHLEQUAH, 304 E DOWNING
TULSA, 8151 E 21st St, Ste F
WEATHERFORD, 204 W Main St
Desired Schedule
*
Full Time
Part Time
Have you ever applied here before?
*
Yes
No
Employment
Start with most recent and complete in full.
**Last 3 jobs Required**
Employer 1
*
Please provide the name of you employer. If not applicable please type 'NA' in the field.
Employer 1 Phone
*
Dates Employed
*
Starting Month/Year - Ending Month/Year
Employer 1 Address
*
Street Address
Address Line 2
City
State
ZIP
Supervisor’s Name
*
Ending Salary/Wage
*
Job Title
*
Job Duties
*
Reason For Leaving
*
Employer 2
*
Please provide the name of you employer. If not applicable please type 'NA' in the field.
Employer 2 Phone
*
Dates Employed
*
Starting Month/Year - Ending Month/Year
Employer 2 Address
*
Street Address
Address Line 2
City
State
ZIP
Supervisor’s Name
*
Ending Salary/Wage
*
Job Title
*
Job Duties
*
Reason For Leaving
*
Employer 3
*
Please provide the name of you employer. If not applicable please type 'NA' in the field.
Employer 3 Phone
*
Dates Employed
*
Starting Month/Year - Ending Month/Year
Employer 3 Address
*
Street Address
Address Line 2
City
State
ZIP
Supervisor’s Name
*
Ending Salary/Wage
*
Job Title
*
Job Duties
*
Reason For Leaving
*
Emergency Contact Information
Emergency Contact Name
*
Emergency Contact Phone
*
Personal Reference
Personal Reference may not be family. Minimum 3 references.
Name
*
Relationship
*
Address
*
Phone
*
Name
*
Relationship
*
Address
*
Phone
*
Name
*
Relationship
*
Address
*
Phone
*
Agreement
APPLICANT: READ AND SIGN BELOW. SIGNING MEANS AGREEMENT: The information provided in the Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. I agree that the Company may obtain a Motor Vehicle Report (MVR) on me. Results may cause dismissal/no hire. I authorize you to conduct a criminal background check. If you decide to engage an investigative consumer-reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report. I authorize you to verify my employment with employers listed on this application. I voluntarily and knowingly authorize any present or past employer or supervisor, college or university or other institution of learning, administrator, law enforcement agency, state agency, local agency, federal agency, credit bureau, collection agency, private business, military branch or the national personnel records center, personal reference, and/or any other person to give records of information that may have concerning my criminal history, motor vehicle history, social security number, earnings history, character, employment (including reasons for termination), credit history, credit capacity, credit standing or any other information requested by Western-Shamrock Corporation deemed pertinent to my employment. Information obtained may be used in employment decisions including termination.
Okay to contact if currently employed
Name
*
Electronic signature
Today's Date
*
MM slash DD slash YYYY
Voluntary Questionnaire
How did you hear about Western-Shamrock Corporation?
*
Website: www.westernshamrock.com
Friend
Newspaper
Employment Commission
Now Hiring Sign/Banner
Other
Referral
If Other, Please Describe
*
If Referred, please specify who referred you.
*
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