Employment Application

B&T Service Station Contractors

630 S. Frontage Rd. Nipomo, CA 93444
      Phone (805) 929-8944
Fax (805) 929-8948

An Equal Opportunity Employer



(Proof of citizenship or authorization will be required upon employment)



(If no, describe the functions that cannot be performed.)
(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing medical examinations, and to skill and agility test.)
[Convictions for marijuana-related offenses that are more than two years old need not be listed.]
If yes, state nature of the crime(s), when and where convicted, and disposition of the case.(Note:No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, date of the offense, the surrounding circumstances, and the relevance of the offense to the position(s) applied for may, however, be considered)

Education, Training, and Experience

High School









Employment History

(List below all present and past employment starting with your most recent employer (last five years is sufficient.) Account for all periods of employment. You must complete this section even if attaching a resume.



List below three persons not related to you who have knowledge of your work performance within the last three years.
Please list: Number of Years Acquainted / First Name & Last Name / Occupation / Phone Number.

Please Read Carefully, Initial Each Paragraph and Sign Below
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize B & T Service Station Contractors to thoroughly investigate my references,work record,education and other matters related to my suitability for employment and, further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records,without giving me prior notice of such disclosure. In addition, I hereby release B & T Service Station Contractors, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigations or disclosure.

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment if hired, is intended to create an employment contract between me and B & T Service Station Contractors. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or B & T Service Station Contractors and that no promises or representations contrary to the foregoing are binding on B & T service Station Contractors designated representative.

Should a search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgement) be conducted by internal personnel employed by B & T Service Station Contractors, I am entitled to copies of any such public records obtained by B & T Service Station Contractors unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.

I waive receipt of a copy of any public record described in the paragraph above.

Applicant's Statement

I certify the answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of one year. Any applicant wishing to be considered for employment beyond this time period should inquire as to wether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with B & T Service Station Contractors is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employed at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive(s) of B & T Service Station Contractors.

In this event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

B & T Service Station Contractors participates in E-Verify. If hired, B & T Service Station Contractors will provide the Social Security Administration and the Department of homeland Security with information from your Form I-9 to confirm work authorization.

I understand, also, that I am required top abide by all rules and regulations of this employer.

A copy of your DMV printout is required with application

Upload a copy of your resume here.