Apply — Join the Rockets Crew

1. Applicant Information

Full Name*

Date*

Street Address*

City*

State*

ZIP*

Phone*

Email*

Are you 18 years of age or older?*

yesno

Are you 21 years of age or older?

May be required for restricted sales (alcohol, tobacco).

yesno

Legally eligible to work in the U.S.?*

yesno

Do you have reliable transportation?*

yesno

Have you ever been employed by Rockets Gas Stations before?

yesno

2. Position & Availability

Store Location You're Applying To*

Position Applied For*

Expected Pay ($/hr)*

Total Hours Desired / Week*

Start Date*

Availability

Specific hours or "Any". Leave blank for unavailable.

mon

tue

wed

thu

fri

sat

sun

3. Skills & Requirements

Can you perform the essential functions of the job?*

Includes standing for long periods, lifting up to 50 lbs, and working in cold coolers or outdoors, with or without reasonable accommodation.

yesno

4. Employment History

Most Recent Employer

Employer Name

Job Title

Dates Employed

Supervisor Name & Phone

Reason for Leaving

Primary Duties

Previous Employer

Employer Name

Job Title

Dates Employed

Supervisor Name & Phone

Reason for Leaving

Primary Duties

5. Criminal History

A criminal record does not automatically disqualify you. Nature of offense, date, and circumstances are evaluated.

Have you ever been convicted of a felony or misdemeanor?*

yesno

6. Education, References & Emergency Contact

Highest Education*

School Name

Emergency Contact Name*

Emergency Contact Phone*

Professional References (No Relatives)

Reference 1 — Name

Relationship

Phone

Reference 2 — Name

Relationship

Phone

7. Acknowledgement & Signature

I certify that the facts set forth in this application are true and complete. I understand that false statements, omissions, or misrepresentations may result in my immediate dismissal. I authorize Rockets Gas Stations to investigate facts set forth in this application and release the company from any liability arising from such investigation. I understand that my employment may be contingent upon a satisfactory background check and drug screening. I acknowledge that employment is at-will, meaning either I or the company can terminate the employment relationship at any time, with or without cause or notice.

I have read and agree to the statement above.

Signature (type your full name)*

Join the Rockets Crew.

1. Applicant Information

2. Position & Availability

3. Skills & Requirements

4. Employment History

5. Criminal History

6. Education, References & Emergency Contact

7. Acknowledgement & Signature