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Looking for a great place to work? Why not here at Pump N Pantry Convenience Stores! Whether you are looking for a full or part time job or a career in retail management, Pump N Pantry has the opportunity you are looking for!

Download and Print PDF Application

Fill out our online application form

If you experience any difficulties completing an online application or downloading the .pdf version, please pick up a paper one from your local Pump N Pantry Convenience Store.

Step 1 of 6

Employer 1
Employer's Name*
Enter N/A if Not Applicable
Employer's Phone Number
Employer's Address
Street Address Address Line 2 City State ZIP Code
Start Date
MM slash DD slash YYYY
Finish Date (If you don't work for this Employer anymore)
MM slash DD slash YYYY
Supervisor's Name
First Last
Supervisors Title
Position Held and Rate of Pay
Reason for Leaving
Employer 2
Employer's Name
Employer's Phone Number
Employer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date
MM slash DD slash YYYY
Finish Date (If you don't work for this Employer anymore)
MM slash DD slash YYYY
Name
First Last
Supervisors Title
Position Held and Rate of Pay
Reason for Leaving
Employer 3
Employer's Name
Employer's Phone Number
Employer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date
MM slash DD slash YYYY
Finish Date (If you don't work for this Employer anymore)
MM slash DD slash YYYY
Name
First Last
Supervisors Title
Position Held and Rate of Pay
Reason for Leaving
List any other experiences, skills or qualifications you feel are pertinent

I give permission to investigate my credit record, criminal background and to communicate with all or any of my previous employers and/or references for full information. I hereby Indemnify the Company from any liability arising out of such Inquiry. I also agree to physical and medical examinations at any time at the option of the Company, and I agree that the examining physician may disclose to the Company or its representatives the results of such examination. At request of the Company, I agree to provide transcripts from educational institutions attended, and to submit to any further testing required for employment or advancement with the Company. All the foregoing information I have supplied is a full and complete statement of the facts, and it is understood that if any falsification be discovered, it will be grounds for dismissal. I acknowledge that, if employed, my employment is for no fixed period of time. This application or offer of employment is not binding on the Company in any way and is not tbe constrused as a contract. Employment, benefits, and/or compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or Myself. No representative of the Company, other than it's President, has the authority to enter into agreement for employment of any specified period of time, or to make any agreement contrary to the foregoing. I understand that the Company does have a drug-free workplace and a drug and/or alcohol testing program consistent with applicable federal, state and local law. If I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace consistent with applicable federal, state and local law. I understand that all employees of the location, pursuant to the Company's policy and federal, state and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employemtn and I agree to undergo alcohol and drug testing consistent with the Company's policies and applicable federal, state and local law.
Date*
MM slash DD slash YYYY
Signature ( I have read and understand the condition of employment statement)*

Criminal Background & Drivers' License Check Consent Form
Pump n Pantry, Inc. requires pre-employment and periodic criminal background checks for all full-time and part-time employees.
Employee/Applicant Status*
- Employee
- Applicant
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Drivers License Number*
If you may have been known by another name (i.e. pre-marriage, alias) please indicate*
- Yes
- No
I certify that the information provided above is true and complete. I understand that false or misleading information given in my employment application, interview(s), or on this form will render my application void and will be just cause for termination in the event of my employment assignment. I authorize Pump n Pantry, Inc. to make a criminal background investigation in arriving at a decision regarding my employment or continuation of employment. I further authorize the Pennsylvania State Police to release criminal background information as part of the criminal background investigation and the Pennsylvania of Transportation to release driving records as part of the drivers' license check.
Date*
MM slash DD slash YYYY
Signature to consent to a Criminal Background and Driver's License Check*

All the Good Jobs

Fill out our online application form

Step 1 of 6

Employer 1

Employer 2

Employer 3

Criminal Background & Drivers' License Check Consent Form

Duty Evaluation: Daily Job Requirements

All the Good
Jobs