24 HOUR
ONE STOP

Employment Opportunities

If you are seeking employment and would like to work at any of our Super Quik locations, please fill out the on-line application below or print, fill out and mail this Employment Application to:

Super Quik
P.O. Box 938
Flatwoods, Ky 41139

On-Line Employment Application

Instructions: No error checking is made on this form. Please verify that all information you have input is correct. Please do not use a semi-colon ";" in any of the boxes. Do not submit this application until you are completely finished.

PERSONAL INFORMATION:

Name (Last, First, Middle):	Date:
Present Address (Street, City, State, Zip):
Permanent Address (Street, City, State, Zip):
Phone Number:
State Name and Relationship of any Relatives in our Employ:	Referred By:

EMPLOYMENT DESIRED:

Position:
Date You can Start:	Salary Desired:
Are You Employed Now?	May We Contact Your Employer?
Have You Ever Applied To This Company Before?	When?
Where?

EDUCATION:

School	Name and Location	Graduated		Major Subjects	GPA
Grammar School		Yes	No
High School
College/ University
Other (Specify)

OTHER INFORMATION:

Subjects of Special Study or Research Work:

Special Training:

Activities: (Civic, Athletic, ETC.)

Exclude organizations, the name or character of which indicates race, creed sex, marital status, age, color, or national origin of its members.

FORMER EMPLOYERS:

List the last four employers, starting with present or most recent.
Date Month and Year	Name and Address of Employer	Salary	Position	Reason For Leaving
From: To:		$ Per:
From: To:		$ Per:
From: To:		$ Per:
From: To:		$ Per:

REFERENCES:

Give the names of three persons not related to you, whom you have known at least one year.
Name	Address	Business	Years Acquainted