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ONLINE EMPLOYMENT APPLICATION
At Pennzoil Tire Lube Express, we are always looking for qualified, honest, hardworking professionals to add to our team. We are an established company with opportunities for advancement and offer competitive wages. Please fill out the form below and tell us about yourself.
Questions in RED are REQUIRED and MUST be filled in before you can submit this application. All information submitted is protected by our secure web server.
Personal Information
Name 
Address 
Address 
City      State      Zipcode 
Daytime Phone 
Email 
Height      Weight      Date of Birth      Age 
Do you have a valid Pennsylvania Drivers License?     Yes     No     PA Drivers number 
Have you had any violations within the past 3 years?     Yes     No
If yes please list here.
Have you been involved in any accidents within the past 3 years?     Yes     No
If yes please describe here.
Can you drive a manual shift vehicle?     Yes     No
Have you ever been arrested or convicted of a crime??     Yes     No
If yes please describe here.
Are you legally eligible for employment in the United States?     Yes     No
Employment Desired
Desired Position 
Date you can start      Salary desired 
Are you employed now?     Yes     No
If yes:     Full time     Part time
May we contact your present employer?     Yes     No
Have you ever applied to this company before?     Yes     No
If yes, please describe where and when.
Education: College
School Name 
Location 
Subjects studied 
Number of Years Completed      Did You Graduate?     Yes     No
Degree Earned 
Education: High School
School Name 
Location 
Subjects studied 
Number of Years Completed      Did You Graduate?     Yes     No
Education: Other Forms of Educatiom
School Name 
Location 
Subjects studied 
Number of Years Completed      Did You Graduate?     Yes     No
Degree Earned 
Use this area to tell us other qualifying information about you.
Previous or Current Employer #1
Company Name 
Address 
Address 
City      State      Zipcode 
Position      Salary 
Name of Supervisor 
Phone 
Dates of Employment:     Begin Date      End Date 
Reason for Leaving?
Previous Employer #2
Company Name 
Address 
Address 
City      State      Zipcode 
Position      Salary 
Name of Supervisor 
Phone 
Dates of Employment:     Begin Date      End Date 
Reason for Leaving?
Previous Employer #3
Company Name 
Address 
Address 
City      State      Zipcode 
Position      Salary 
Name of Supervisor 
Phone 
Dates of Employment:     Begin Date      End Date 
Reason for Leaving?
References: List the names of two persons not related to you, whom you have known at least one year.
Reference #1
Name 
Phone      Years acquainted 
What is your relationship with this person? 
Reference #1
Name 
Phone      Years acquainted 
What is your relationship with this person? 
You MUST fill in the number you see in the image below before submitting this form.
Please take a moment to make sure you have filled in the mandatory questions (indicated in red). You will not be able to submit this application unless they are filled in properly. In order to protect your information and keep it secure, if you try to submit the application without filling in the mandatory questions, all of your answers will be lost and you will need to start over and fill in the application again.


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 Pennzoil Tire Lube Express
2500 East Fifth Avenue
McKeesport, PA 15132
Phone: 412-678-8221
info@pennzoilquicklube.com
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