Dupree Energy Job Application

Applicant Name (As listed on your legal documents)

First NameMiddle NameLast Name

Residential Address

Street Address

Street Address Line 2

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Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Are you eligible to work in the United States?

Do you speak English?

Do you speak Spanish?

Do you have a driver's license issued by the United States?

Will you pass a required pre-employment drug and alcohol test?

Have you been convicted of or pleaded no contest to a felony?

Which job division fits your skills closest?

Desired pay rate:

Who referred you?

List the name of the person who referred you:

Skills and Qualifications:

Upload a copy of your resume here.

As a condition of employment with Dupree Energy, I understand that I may be required to submit to drug and/or alcohol testing in accordance with Company policy and all applicable federal, state, and local laws. By signing below, I voluntarily consent to drug and alcohol testing as required by Dupree Energy, including but not limited to per-employment, reasonable suspicion, post-accident, random (where permitted), return-to-duty, and follow-up testing, when applicable to my position and Company policy. I understand that refusing to submit to a required test, tampering with a specimen, or violating the Company's Drug and Alcohol Policy may result in the withdrawal of an employment offer or disciplinary action, up to and including termination of employment. I understand that test results will be maintained as confidential to the extent required by law and used only for legitimate employment purposes. I acknowledge that this consent does not create contract of employment and does not alter the at-will employment relationship. I certify that the information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

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