4122 Boat St, Fairbanks, Alaska 99709
Compeau's Inc is an equal opportunity employer. This application will not be used for limiting or excluding any
applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an
applicant need reasonable accommodation in the application process, he or she should contact a company
Please fill out all of the sections below:
Phone Number Email
Date of Application
Position(s) applying for: Parts/Service Departments (full time)
How did you hear about this position? On what date can you start working if you are hired?
If needed, are you available to work overtime? Do you have reliable transportation to and from work? Personal Information Are you 18 years of age or older? Are you a U.S. citizen or approved to work in the United States? What document can you provide as proof of citizenship or legal status? Do you have any condition which would require job accommodations? If yes, please describe accommodations required below. Have you ever been convicted of a criminal offense (felony or misdemeanor)? If yes, please state the nature of the crime(s), when and where convicted and disposition of the case: Will you consent to a mandatory controlled substance test? Job Skills/Qualifications
(Note: Compeau's Inc complies with the ADA and considers reasonable accommodation measures that may be
necessary for eligible applicants/employees to perform essential functions. )
Please list below the skills and qualifications you possess for the position for which you are applying Education and Training High School-Name High School Location (City, State) Year Graduated Degree Earned College-Name College Location (City, State) Year Graduated Degree Earned Vocational School/Specialized Training-Name Vocational School/Specialized Training Location (City, State) Year Graduated Degree Earned Military Are you a member of the Armed Services? What branch of the military did you enlist? What was your military rank when discharged? How many years did you serve in the military? What military skills do you possess that would be an asset for this position? Previous Employment 1st Employer Name Job Title Supervisor Name Employer Telephone Dates Employed Employer Address
Reason for leaving 2nd Employer Name Job Title Supervisor Name Employer Telephone Dates Employed Employer Address
Reason for leaving 3rd Employer Name Job Title Supervisor Name Employer Telephone Dates Employed Employer Address
Reason for leaving References
Please provide 3 personal and professional reference(s) below:
Reference Contact Information Reference Contact Information Reference Contact Information Additional Comments AT-WILL EMPLOYMENT
The relationship between you and the Compeau's Inc is referred to as "employment at will." This means that
your employment can be terminated at any time for any reason, with or without cause, with or without notice,
by you or the Compeau's Inc. No representative of Compeau's Inc has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Please enter your name as an acknowledgment the above information has been completed by you. This document will be send to the email address provide at the top of the application and will serve as your notification of receipt. If this form wasn't filled out by you or you feel someone misrepresented you by completing the online form without your knowledge please contact us immediately so we may remove you for consideration of employment.