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Employment Application

Name(Required)

First Last

Are you at least 18 years of age?

Yes

No

Phone(Required)

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Positions of Interest(Required)

Field Mechanic

Pumper

Rig Crew

Roustabout Crew

Shop Mechanic

Water Truck Driver

Office/Administration

Work History(Required)

Education/Experience

Resume(Required)

Max. file size: 300 MB.

Current / Most Recent Employer

Last Postion Held

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Duties and Responsibilities

Company Address (City, State)

Company Phone Number

Employer

Last Postion Held

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Duties and Responsibilities

Company Address (City, State)

Company Phone Number

Employer

Last Postion Held

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Duties and Responsibilities

Company Address (City, State)

Company Phone Number

Questionnaire

Do you have a clean driving record for at least 3 years?

Yes

No

This is a job that requires lots of manual labor, can you pass a physical?

Yes

No

Able to pass a pre-employment drug-screen and random draws? (Includes marijuana)

Yes

No

Consent(Required)

I confirm all information above is accurate.

Name

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