Job Application | Black Gold Energy Services

*First & Last Name:

*Email

*Phone Number:

*Address

Where didyou hear about this job?

Present Job Salary

*Minimum Salary Expected?

*Have you ever been convicted of a felony?

YES NO

If yes, please explain.

*Are you over the age of 18?

YES NO

*What position are you seeking?

*Do you have any problems with rotating shift work?

YES NO

*Are you willing to work overtime, weekends, or holidays?

YES NO

*What date are you available to start work?

*Have you ever been discharged or asked to resign from a job?

YES NO

If yes, please explain.

*How many days of work have you missed in the last year (vacations not included)?

*Education:Describe your educatin: High School Diploma? Degree?

*Are you a veteran?

YES NO

If yes, list any special training and dates of service.

*Are you a citizen of the United States?

YES NO

If no, are you authorized to work in the United States?

YES NO

If yes, when?

Previous Employment

*Company

*Phone:

Address:

Supervisor:

Job Title:

Starting Salry:

Ending Salry:

Responsibilities:

Employed from Date:

till:

Reason for leaving:

*May we contact your previous supervisor for a reference?

YES NO

Reference #1

*Full Name:

*Company

*Address:

*Relationship:

*Phone:

Refernce #2

Full Name:

Company

Address

Relationship:

Phone:

Reference #3

Full Name:

Company

Address:

Relationship:

Phone:

Please upload your resume, copies of certificates, and any other information you may want us to have.

By submitting this job application,

I authorize Black Gold Energy Service, LLC to make an investigation of all information contained in this employment application and it's attachments, and I release from liability all companies supplying such information. I understand any false answers made by me on this application, or any other required document from Black Gold Energy service, LLC shall be considered sufficient cause for denial of employment or discharge. I hereby agree to submit to any drug test required of me, whether prior to my employment, or if employed by this company, anytime thereafter when requested by my Superior. I understand that a positive test for illegal drugs can be considered grounds for termination from the company.

Fields with (*) are compulsory.

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