U-Stop Employment Application Step 1 of 4 - Welcome 25% General InformationName* First Middle Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Alt PhoneEmail* Best time to contactMorningAfternoonEveningAny TimeCompany Type U-Stop Convenience Stores Whitehead Oil Company Merritt Concrete, Fireplace and Stone Quick Service Restaurants Maintenance Department Soapatopia Car Wash U-Stop Locations U-Stop #2 - 17th & Q U-Stop #5 - 83rd & O U-Stop #6 - 27th & E U-Stop #7 - 56th & Old Cheney U-Stop #8-14th Centerpark Rd U-Stop #9 - 33rd & Cornhusker U-Stop #10 - 27th & Stockwell U-Stop #11 - NW 12th (Airport) U-Stop #12 - 27th & Interstate 80 U-Stop #13 - Ashland U-Stop #14 - 27th & Porter Ridge Rd. U-Stop #15 - 71st & Pioneers U-Stop #16 - 33rd & Superior U-STOP #24 - West Fletcher (Highlands) U-Stop #18 - 1st & West O U-Stop #28 - 56th & Interstate 80 U-Stop #26 - 84th & Northwoods U-Stop #31 - 48th & Hwy 2 U-Stop #3 - 10th & J U-Stop #17 - Hickman U-Stop #25 - 21st & K U-Stop #27 - 13th & South U-Stop #4 - 84th & Hwy 6 Jeannie's Kitchen - 73rd & Pine Lake, inside U-STOP U-Stop #32 - 73rd & Pine Lake Road Godfather's Pizza - Hickman, inside U-STOP U-STOP - Roving Lead C.S.A.'s U-STOP #33, 18550 Hwy 77, Beatrice, NE U-Stop #34 - Hwy 77 & West Denton Road See LocationsMaintenance Department Locations Whitehead Oil Maintenance Department See LocationsWhitehead Oil Locations Whitehead Oil Company - 25th & Randolph Whitehead Oil Company - Marketing Department See LocationsQuick Service Restaurants Locations U-STOP #24 - West Fletcher (Highlands) Jeannie's Kitchen - Hickman Godfather's Pizza - Hickman, inside U-STOP Jeannie's Express - 1st & O See LocationsSoapatopia Locations SOAPATOPIA CAR WASH - 73rd & Pine Lake Soapatopia Car Wash - Hwy 77 & West Denton Road, Lincoln, NE See LocationsMerritt Concrete, Fireplace and Stone Locations Merritt Concrete & Stone See LocationsAvailability Full-Time Part-Time Outside Sales Jobs Available – Fill Out Other Fields – See All Job DescriptionsReferral Source Walk in Newspaper Friend/Relative Internet (Monster, Indeed, Cornhusker Help Wanted, Snagajob) U-Stop Employee Other Name of referral On what date would you be available to begin working?* MM slash DD slash YYYY EligibilityAre you 19 years of age or older?* Yes No Are you 21 years of age or older?* Yes No Are you 16 years of age or older?* Yes No Are you eligible to work in the United States?* Yes No Proof of eligibility is required upon employmentTransportation* Yes No Do you have reliable transportation to work?Timeliness* Yes No Most U-Stop locations operate with 1 or 2 individuals running the store, 24 hours per day, 7 days per week. Shifts can potentially begin and end at a wide range of times. Can you arrive at work on time, during both fair and inclement weather?Overtime/holidays* Yes No Some positions require working overtime, weekends, evenings, overnight, and/or holidays at a variety of U-Stop locations. Is this acceptable?Have you been convicted of a felony?* Yes No A conviction will not necessarily be a bar to employment.Please explainDescribe the nature of the conviction(s), including dates.Have you worked for us before?* Yes No Have you ever been employed by U-Stop or Whitehead Oil Company, using this or any other name?Name/year(s)Please enter the name used (if different than your current name) and the year(s) of your past employment with us. We will verify your eligibility for rehire.Please list any relatives in our employ, and their relationship to you.NameRelationship Click the plus sign to add additional lines. Employment HistoryPlease list your previous employers, beginning with the most current. We will contact the supervisors at your previous employers for work references. Please include employers up to at least the pastĀ five years.No Work History Option No Work History* Most Recent Employer(Required)Company name* Time with Company* 1-6 months 6-12 months 1-3 years 3-5 years 5+ years Add More Work History? None 1 More Position 2 More Positions 3 More Positions Company name Company name Company name Time with Company 1-6 months 6-12 months 1-3 years 3-5 years 5+ years Time with Company 1-6 months 6-12 months 1-3 years 3-5 years 5+ years Time with Company 1-6 months 6-12 months 1-3 years 3-5 years 5+ years EducationHighest Level of EducationGEDHigh SchoolSome CollegeBachelor's DegreeGraduate DegreeOther qualifications, permits, or certificationsPlease list any other courses, professional training, or special skills that you possess.CAPTCHA