Byrd Oilfield Employment Application

1
Date of Application
Date
Year
Month
Day
2
Name:* This field is required.
First Name
Middle Initial
Last Name
Suffix
3
Street Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number:* This field is required.
Area Code
Phone Number
5
E-mail Address:* This field is required.
6
Date Available
Month & Date
7
Desired Salary
8
Social Security Number

Your Social Security Number will be required for completion of the hiring process. Please be prepared when asked by Human Resources.

Thank you,
Byrd Oilfield Services
9
Are you a citizen of the United States?* This field is required.
Yes
No
If no, are you authorized to work in the US?
Yes
No
10
Have you ever worked for this company?* This field is required.
Yes
No
Other
11
Have you ever been convicted of a felony?* This field is required.
Yes
No
Other
12
Education
13
High School* This field is required.
Name of School
Address
From
To
Please Select
Please Select
Yes
No
Did you graduate?
Degree
14
College
Name of School
Address
From
To
Please Select
Please Select
Yes
No
Did you graduate?
Degree
15
Other Education
Name of School
Address
From
To
Please Select
Please Select
Yes
No
Did you graduate?
Degree
16
References

Please list two (2) references that are familiar with your work life.
17
Reference 1* This field is required.Please fill out all fields
Name - First and Last
Relationship
Company
Address
Phone Number
18
Reference 2* This field is required.Please fill out all fields
Name - First and Last
Relationship
Company
Address
Phone Number
19
Previous Employment
20
Employer 1All fields required
Company Name
Phone
Supervisor
Address
Job Title
Employment Dates: From - To
Reasons for leaving
May we contact your previous supervisor for a reference?
21
Employer 2All fields required
Company Name
Phone
Supervisor
Address
Job Title
Employment Dates: From - To
Reasons for leaving
May we contact your previous supervisor for a reference?
22
Employer 3All fields required
Company Name
Phone
Supervisor
Address
Job Title
Employment Dates: From - To
Reasons for leaving
May we contact your previous supervisor for a reference?
23
Military Service
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
24
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this appplication leads to employment, I understand that false or misleading inforation in my application or interview may result in my release.
Should be Empty: