To be considered an applicant, you must complete this form. A resume may also be attached. Each question should be fully and accurately answered. No action can be taken on this application until all questions have been answered.








    Have you ever worked for T&C Supply Association?


    Are you legally eligible to work in the United States?

    Federal Law requires proof of identity and employment authorization for all new employees.

    Have you ever been convicted of a felony? (Do not answer “yes” if your “official” conviction record has been annulled, expunged, or sealed. A past criminal history does not necessarily disqualify an applicant from employment.)


    Do you have relatives or friends working for the company?




    Type of Employment




    Are you willing to work overtime?

    Are you willing to travel?


    Are you 21 or over?

    Are you 18 or over?

    If no, you may need to provide us with a work permit.


    Please summarize special skills, qualifications, and civic, social, or professional memberships.

    Education

    High School






    College






    Other






    Employment History






























    References







    Please list two persons who know of your qualifications and work abilities (do not include relatives):

    Terms & Conditions

    I understand and certify that all information supplied in this application, and any attached resume, is complete and correct. Any false, misleading, or incomplete information furnished by me regarding this application may result in the rejection of this application or if employed, dismissal. I understand that in consideration of my employment, I agree to conform to the rules and regulations of the Co-op, and further agree that my employment and compensation are at will with the Co-op and can be terminated, with or without cause, and with or without notice, at any time at the option of either the Co-op or myself. No supervisor, representative, agent, other employee of the Co-op has now or has had in the past the authority to enter into any agreement for employment for a specified period, or to make any agreement which is contrary to or in modification of the above terms, nor can any policies or practices of the Co-op, either written or oral, modify the above terms.

    I understand and agree to take any physical examination, including drug screen test; all such tests will be administered in compliance with the Americans with Disabilities Act.

    I understand and hereby authorize all persons, schools, companies, employers and/or their representatives to furnish verification to the Co-op, its representatives or agents, any and all information set forth in this application and/or attached resume. In addition, I hereby agree to hold harmless and to release from all liability all said persons, schools, companies, employers and or/their representatives from any and all claims that I may have, or which may arise, against any and/or all of them, including the Employer, as a result of them furnishing information to the Co-op. I authorize the Co-op, should they employ me, to release employment references, if my employment becomes terminated for any reason. I also authorize the Co-op to conduct credit, police, criminal and driving record inquiries, or any other employment-related inquiries in compliance with the provision of the Fair Credit Reporting Act, 15 U.S.C. Section 1681, et.seq. I understand that the decision to hire me and my continued employment will be subject to the results of these inquiries.




    Town & Country Supply Association Corporate Office
    18 8th Ave.
    P O Box 367
    Laurel, Montana 59044

    Tel: (406) 628-6314
    Fax: (406) 628-7895
    Email: info@tandcsupply.com

    PROPANE ORDERS & INFORMATION
    Tel: (406) 628-6314

    GAS OR DIESEL ORDERS & INFORMATION
    Tel: (406) 628-6314