Casey's General Stores, Inc

Step 1

Application Date

You may hold down the control key to select more than one position.

Position/Store Applying At

If The Position You Are Applying For Is Not Listed Above, Please fill out the Other Position/Store fields below.

Other Position:

Please choose a state below and then a city to apply to all stores in. You will be able to select another state later, if necessary.

Other Store / State
Referral Source: Advertisement Walk-In Web Site Job Line Casey's Employee
If Employee, Referral's Name:

Step 2

* First Name
Middle Initial
* Last Name
* Street Address
* City
* State (Please use common abbreviation)
* Zip Code
* Day Phone (xxx) XXX-XXXX
Evening Phone (xxx) XXX-XXXX
Are you at least 16 years of age?
* 18 years of age?
21 years of age?
* Are you able to perform the essential functions of the job for which you applied with or without reasonable accommodation?
* Check the dates you are available to work Nights Days Weekends Holidays
* Weekdays:
to
* Weekends: to
* Desired Start Date?
* Can you travel if a job requires it?
* Have you ever been convicted of a crime other than a routine traffic violation?

Conviction will not necessarily disqualify applicant from employment. Applicants in the state of Illinois are not obligated to disclose sealed or expunged records of conviction.

If yes, please choose one of the following:
If yes, give dates and circumstances
* Have you ever been employed by Casey's in the past?
If Yes, give dates
If yes, give name, location and position
If your name has changed since you were last employed, please provide your former name
Do you have any relatives working for Casey's?
If Yes, please provide more information

Step 3 - Education

High School
1. * High School Name
2. * Did You Graduate?
3. * Diploma / Degree
College
1. College
2. Did You Graduate?
3. Diploma / Degree
Other
1. Other
2. Did You Graduate?
3. Diploma / Degree

Step 4 - Special Skills and Qualifications

List equipment, machinery, special skills and qualifications acquired from your past employment experience.
List applicable professional or technical licenses or certifications relative to the position for which you are applying.

Step 5 - Employment Experience

Employer 1 Employer Name
Job Title
Employment Dates
Employer Address
Supervisor
Duties & Responsibilities
Reason For Leaving
Telephone #1
Telephone #2
Starting Salary
Ending Salary
Employer 2 Employer Name
Job Title
Employment Dates
Employer Address
Supervisor
Duties & Responsibilities
Reason For Leaving
Telephone #1
Telephone #2
Starting Salary
Ending Salary
Employer 3 Employer Name
Job Title
Employment Dates
Employer Address
Supervisor
Duties & Responsibilities
Reason For Leaving
Telephone #1
Telephone #2
Starting Salary
Ending Salary
Employer 4 Employer Name
Job Title
Employment Dates
Employer Address
Supervisor
Duties & Responsibilities
Reason For Leaving
Telephone #1
Telephone #2
Starting Salary
Ending Salary

I agree to the following: I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigations 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 time not to exceed six months. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer. I understand that some positions with Casey's require a pre-employment physical, drug test, and comprehensive criminal background screening. If required, you will be informed prior to employment. I also understand that some positions require the examination of driving records prior to employment. In the event of employment, I understand that I must complete the Employment Eligibility Verification Form I-9 by the end of the first day of employment and present required documentation establishing identity and employment eligibility by the end of the third day of employment. I understand that if hired by Casey's my employment is at will and may be severed by either party at any time with or without cause. I understand that neither this document nor an offer of employment from Casey's constitute an employment contract unless a specific document to that affect is executed by the employer and employee in writing.

I agree to the above terms

Assistant Managers-Knob Noster #2,, MO - 1949
Assistant Managers-Council Bluffs #2, IA - 2096
Assistant Managers-Oskaloosa #4, IA - 2350
Assistant Managers-LaGrange, MO - 1232
Assistant Managers-Edina #2, MO - 2600
Corporate Office-Gasoline Dispatcher
Service Technician-Service Technician Springfield MO
Service Technician-Service Technician Sioux Falls SD
Store Managers-Rochester #2, MN - 2269
Store Managers-Perry #1, IA - 26
Store Managers-Huxley #3, IA - 2842
Store Managers-Bradford, IL - 1288
Store Managers-Hillsboro, KS - 1481
Store Managers-Hillsboro, KS - 1481
Store Managers-Springfield #8 , MO - 3013
Store Managers-Gilbert, IA - 2301
Store Managers-Scott City, MO - 2151
Store Managers-Montezuma, IA - 1015
Transportation-Gasoline Transport Driver
Transportation-Gasoline Transport Driver
Transportation-Gasoline Transport Driver
Transportation-Gasoline Transport Driver
Unopened Stores-Joplin #3, MO
Unopened Stores-Early #2, IA - 3079
Unopened Stores-Webster City #3, IA - 3054
Unopened Stores-Syracuse, IN - 3067
Unopened Stores-Tipton, IN - 3065
Unopened Stores-Carroll #3, IA - 3082
Unopened Stores-Bethany #2, MO - 3081
Unopened Stores-Ankeny #13, IA - 3075
Unopened Stores-Evansville #3. IN - 3073
Unopened Stores-Hampshire, IL - 3066
Unopened Stores-Grant City #2, MO - 3074
Unopened Stores-Tea, SD - 3069
Unopened Stores-Mound City #2, KS - 3078
Unopened Stores-Gardner #2, KS - 3056
Unopened Stores-Brimfield #2, IL - 3071
Unopened Stores-Terre Haute #2, IN - 3070
Unopened Stores-Bentonville #3, AR - 3076
Unopened Stores-Mexico #4, MO - 3084