JOB APPLICATION

Fast Stop Travel Centers

Fast Stop Travel Centers is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by law. If you need accommodation to complete this application, please contact a company representative.

Complete each section. Required fields are outlined in red and turn green when complete.

Location you are applying to

State

City

Store

Applicant Information

Applicant Name:

Address:

City, State and Zip Code:

Telephone Number:

Email Address:

Date of Application:

Employment Position

Select the position(s) you are applying for:

Retail Cashier Restaurant Crew Member Other:

How did you hear about this position?

What days are you available for work?

What hours or shift are you available for work?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

Yes No

Personal Information

Have you ever applied to or worked for Fast Stop Travel Centers before?

Yes No

Are you related to anyone currently employed by Fast Stop Travel Centers?

Yes No

Background Questions

Are you 21 years of age or older?

Yes No

Are you a U.S. citizen?

Yes No

Will you consent to a mandatory controlled substance test?

Yes No

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

Yes No

Do you have any pending charges (misdemeanor or felony) that have not been adjudicated yet?

Yes No

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and relevance of the offense to the position may, however, be considered.

Job Skills/Qualifications

Describe the skills and qualifications you have for the position.

Note: Fast Stop Travel Centers complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

Education and Training

Name	Location (City, State)	Year Graduated	Degree Earned
High School

College/University

Military

Have you ever served in the Armed Services?

Yes No

Previous Employment

Employer 1:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

Employer 2:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

Employer 3:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

References

Add up to three professional references who are not related to you. If you do not have three professional references, you may add personal, unrelated references.

Name	Address/City/State	Phone	Relationship

Required Identification Documents

Passport

Driver's License

Social Security card or Birth Certificate

Accepted file types: common image formats such as JPG, PNG, GIF, WebP, BMP, TIFF, HEIC, and HEIF. Maximum size: 10 MB per file.

AT-WILL EMPLOYMENT

I understand that my employment with Fast Stop Travel Centers is "employment at will" and may be terminated at any time for any reason, with or without cause, and with or without notice, by me or by Fast Stop Travel Centers. I further understand that no representative of Fast Stop Travel Centers has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. I acknowledge that no oral or written statements or representations regarding my employment can alter my at-will employment status, except for a written statement signed by me and either our Executive Vice-President/Chief Operations Officer or the Company's President.

Applicant Signature:

Date: