General Application
Petroleum Services
Application for Employment
General Information
*
First Name:
*
Middle Initial:
*
Last Name:
*
Home Phone:
(###-###-####)
*
Cell Phone:
(###-###-####)
*
Email:
*
Social Security #:
(999-99-9999)
*
Date of Birth:
(mm-dd-yyyy)
*
Are you legally entitled to work in the U.S.?
Yes
No
Current Drivers License
*
State:
*
License #:
*
Type:
*
Expiration Date:
(mm/dd/yyyy)
Current Residency
*
Address:
*
City:
*
State:
*
Zip:
*
How long:
*
Have you ever been convicted of a felony?
Yes
No
If yes, please explain fully:
Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.
Position
*
Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation?
Yes
No
*
Salary Desired
*
Will Accept:
Part-Time
Full-Time
Temporary
*
Shift:
Day
Swing
Graveyard
Rotating
*
Date Available:
Application Progress
General Information
Education and Training
Veteran Information
Employment History
Accidents & Tickets
Signature/Summary
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