Job Application

On-line Job Application Form

Please fill out the form completely.

Personal Information
Employment Desired

[NOTE: If hired, you will be required to perform work as required by the Company.]

Grammer School
High School
Trade, Business or correspondence School
Current Employer
Former Employers

List all employers. List your most recent employer first. If additional space is required please attach sheet in doc, docx and or pdf format at the ind of this section.

Former Employer 1
Former Employer 2
Former Employer 3
Resume Upload

Upload a pdf, doc or docx here.

Upload another file

Maximum size 10MB

Special Skills and Qualifications

Give the names of three persons not related to you, preferably previous supervisors.

Reference 1
Reference 2
Reference 3
Voluntary Self Identification Record

Hawaii Petoleum, Inc. (Emau, Minit Stop Holdings, LLC) is a government contractor and as such is required by law to collect data on ethnicity, gender and veteran status. This data will only be used for Affirmative Action purposes and is strictly VOLUNTARY. Please check one of the categories that feel most characterizes your gender, ethnicity and/or veteran status.

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

EEO is the Law (click here)

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