Please fill out the application below completely. Answer all of the questions that apply. In order for us to determine the most qualified candidates to interview, we need to know as much information about you as posssible.
Please note:
For security reasons some personal information questions are not included on this electronic application and may be asked during the interview process.

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Telephone Numbers:

* Please make sure your attachments don't have any spaces in the file name. If you want to put a space either use a (_) or (-).

Attach Resume:

If you are applying for a position that includes driving, upload your driving record here:

Are you at least 16 years of age? Yes    No
18 years of age? Yes    No
21 years of age? Yes    No

Are you able to perform the essential functions of the job for which you applied with or without reasonable accommodations? Yes    No

Have you ever been employed with Richman's? Yes    No
If yes, give dates:
Do you have any relatives currently working for Richman's?
    Yes    No

Are you available to work.... Full Time   Part Time

On what date would you be available to begin work?

Have you ever been convicted of a crime other than a routine traffic violation? Yes    No

If yes, complete the following: Felony       Misdemeanor

Do you have a Commercial Driver's License?    Yes    No

If yes, which Class?

Note: If you are applying for tow truck driver or auto technician position, please bring your DOT driver's record to the interview.


Yes    No
Yes    No
Yes    No
Any Special Skills and Qualifications you wish to include:


Start with your present or most recent job. Include military service assignments.





Please provide 3 references for us to contact.





I certify that answers given herein are true and complete to the best of my knowledge. I authorize the verification 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 six months. Any applicant wishing to be considered for employment beyond the six month 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 Richman BP.

I understand that some positions with Richman BP require a pre-employment physical, drug test, and comprehensive criminal background screening. If required, the applicant 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 Packet.

I acknowledge that submission of this form will act as my electronic signature