Chief Oilfield Technologies - Non-DOT Application

DAYS AND HOURS AVAILABLE

(If employed, I understand that I am required to work the schedule mandated by the company).

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
From:
To:

EDUCATION

	Name and Location of School	Course of Study	Number of Years Completed	Diploma or Degree Received
High School
College
Vocational or Trade School
Graduate Work

JOB SPECIFIC SKILLS
List skills or training you have received that relate to the job you are applying for.

PROFESSIONAL EXPERIENCE

Start with your present or most recent position.
Employer*
Employer's Phone Number
Please enter a valid phone number.
Employer's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor*
Dates employed, beginning and ending*
Rate of pay, beginning and ending*
Job title*
Reason for Leaving:*
Describe the work performed:*
May we contact this employer?*

YesNo
Employer*
Employer's Phone Number
Please enter a valid phone number.
Employer's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor*
Dates employed, beginning and ending*
Rate of pay, beginning and ending*
Job title*
Reason for Leaving:*
Describe the work performed:*
May we contact this employer?*

YesNo
Employer*
Employer's Phone Number
Please enter a valid phone number.
Employer's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor*
Dates employed, beginning and ending*
Rate of pay, beginning and ending*
Job title*
Reason for Leaving:*
Describe the work performed:*
May we contact this employer?*

YesNo
Please upload any additional employment history information

Cancelof

PERSONAL REFERENCES

(Give at least two references – not relatives - with whom you have known for more than three years).
Include NAME, ADDRESS, TELEPHONE and OCCUPATION.
Include NAME, ADDRESS, TELEPHONE and OCCUPATION.

It is the policy of Chief Oilfield Services, LLC to provide equal employment opportunity to all employees and applicants for employment and not to engage in discrimination against or harassment of any persons employed or seeking employment on the basis of race, color, national origin, religion, sex, gender , gender expression , gender identity , pregnancy , physical or mental disability, medical condition (cancer-related or genetic characteristics), genetic information (including family medical history), ancestry, marital status, age, sexual orientation, citizenship, or service in the uniformed services (as defined by the Uniformed Services Employment and Reemployment Rights Act of 1994) as well as state military and naval service. This policy applies to all employment practices, including recruitment, selection, promotion, transfer, merit increase, salary, training and development, demotion, and separation.

IMPORTANT, PLEASE READ AND SIGN: I understand that failure to reveal any prior employer or giving false or misleading information by me on any part of this Application for Employment can be grounds for termination from the company or its' subsidiaries. I understand that if I am hired, my employment is for no definite time and may be terminated at any time without prior notice. I also understand that I may be asked to take a pre-employment drug and background screening and that those results may determine whether or not I am able to begin or continue working with this company.
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Job Application

DAYS AND HOURS AVAILABLE

EDUCATION

JOB SPECIFIC SKILLS

PROFESSIONAL EXPERIENCE

PERSONAL REFERENCES