JOIN OUR TEAM When you complete this employment application, a copy of your submission will be sent to the e-mail address you indicated. PhoneThis field is for validation purposes and should be left unchanged.General InfoName(Required) First Middel Initial Last Your Email(Required) Your Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date Available(Required)Desired Salary(Required)Position Applied For(Required)Are You Legally Eligible To Work?(Required) Yes No Have You Ever Worked For Roche Oil?(Required) Yes No Please indicate the date of last employment with Roche Oil(Required)Have You Ever Been Convicted Of A Felony?(Required) Yes No Conviction Date or Year(Required)EducationHigh School NameHigh School AddressHigh School Start DateHigh School End DateDid you graduate from high school? Yes No College NameCollege AddressCollege Start DateCollege End DateDid you graduate from college? Yes No College Degree(Required)What did you get your degree in?Other InstitutionOther AddressOther Start DateOther End DateDid you graduate from other? Yes No Degree or certification from other(Required)Employment HistoryEmployer Name 01Address Employer 01(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Employment 01(Required)Please include both the start and end dates of this employment.Phone 01(Required)Supervisor's Name 01(Required)Your Position and Duties 01(Required)May We Contact This Employer? 01(Required) Yes No Employer Name 02Address 02 Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Employment 02(Required)Please include both the start and end dates of this employment.Phone 02(Required)Supervisor's Name 02(Required)Your Position and Duties 02(Required)May We Contact This Employer? 02(Required) Yes No CAPTCHA