Application For Employment - CNC Oilfield Services LLC

APPLICANT GENERAL INFORMATION

Date

First Name *

First

Middle Name *

Middle

Last Name *

Last

Social Security Number (XXX-XX-XXXX) *

Email *

Home Phone *

Mobile Phone

Address *

Address

City

State/Province

Zip/Postal

Are you over the age of 18? *

Yes

No

Please tell us your age? *

What position are you applying for? *

What is your desired salary?

Employment desired? *

Full-Time Only

Part-Time Only

Full Or Part-Time

How many hours can you work weekly? *

Can you work nights? *

Yes

No

If hired, when are you available to start your employment. *

Would you like to upload a resume?

Yes

No

Attach Resume

Maximum upload size: 10.49MB

EDUCATION & ADDITIONAL INFORMATION

What is the highest level of education you have achieved? *

What degree did you receive? *

School Name/Location (Full Address Please)

Have you attended a business, professional, or trade school? *

Yes

No

School Name/Location (Full Address Please)

HAVE YOU EVER BEEN CONVICTED OF A CRIME? *

Yes

No

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Do you have a drivers license? *

Yes

No

Drivers License Number *

State of issue *

Date of expiration? *

License Type (check all that apply) *

Operator

Commercial (CDL)

Chauffeur

What is your means of transportation to work?

OFFICE/TECHNOLOGY SKILLS:

Typing *

Yes

No

WPM *

Word Processing *

Yes

No

WPM *

10-Key *

Yes

No

PC/Mac *

Yes

No

Other Skills:

REFERENCES: Please list at least two references other than relatives or previous employers.

Reference Name *

Position *

Company *

Reference Email *

Reference Phone *

Reference Address *

Reference Address

City

State/Province

Zip/Postal

Add Another Reference Remove Reference

EMERGENCY CONTACT: Please list an emergency contact that we may reach out to if necessary.

Emergency Contact Name *

Relation *

Emergency Contact Phone Number *

MILITARY AFFILIATION

Have you ever been in the armed forces? *

Yes

No

Specialty:

Date Entered *

Discharge Date

Discharge Type

Are you currently a member of the National Guard?

Yes

No

WORK EXPERIENCE- Please show last 5 years starting with most recent job.

Employer Name *

Address *

Address

City

State/Province

Zip/Postal

Country

Phone *

Job Title *

Name Of Last Supervisor *

Start Date *

End Date *

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Reason For Leaving? (Be Specific)

Add Another Employer Remove Employer

Work Experience Continued

May we contact your present employer? *

Yes

No

Did you complete this application yourself? *

Yes

No

In not, who did?

APPLICATION FORM WAIVER

In exchange for the consideration of my job application by CNC OILFIELD SERVICES (hereinafter called “the company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of CNC OILFIELD SERVICES, or otherwise to change in any respect the employmentat-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President/General Manager of the Company. Both the undersigned and CNC OILFIELD SERVICES may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job related physical examinations.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

Signature Of Applicant *

Clear

Date

This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in our business.

APPLICANT GENERAL INFORMATION

EDUCATION & ADDITIONAL INFORMATION

OFFICE/TECHNOLOGY SKILLS:

REFERENCES: Please list at least two references other than relatives or previous employers.

EMERGENCY CONTACT: Please list an emergency contact that we may reach out to if necessary.

MILITARY AFFILIATION

WORK EXPERIENCE- Please show last 5 years starting with most recent job.

Work Experience Continued

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