*First Name:
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*Last Name:
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*Street Address:
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*City:
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*State:
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*Zip Code:
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*Phone:
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Email:
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*Position(s) Applied for:
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Date of Application:
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Salary Expected:
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How did you learn about us?:
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Are you available immediately ?
Yes
No
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If not, How soon:
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Woodward Drilling requires that all applicants have a valid drivers license, do you have a valid drivers license? If not there is no reason to fill this form out any further.
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Yes
No
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License Number:
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License State:
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License Class:
A
B
C
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License Expiration:
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Do you have adequate transportation to and from work?
Yes
No
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Have you been cited for a traffic violation of any kind within
the last five (5) years?
Yes
No
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(If yes, please give detail below)
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This job requires extensive travel and days away from home, are you able to accomadate this requirement?
Yes
No
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Do you have any personal requirements or restrictions that may result in your not being able to work at any time requested or scheduled?
No
Yes
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Are you over 18 years of age?
Yes
No
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If hired, can you furnish proof that you are over 18 years of
age?
Yes
No
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How many days of work have you missed in the last three (3) years due to reasons
other than paid holidays and vacation:
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Number of days:
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Have you ever been convicted of a felony within the last seven
(7) years (Conviction will not necessarily disqualify an applicant from employment):
Yes
No
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If yes, please explain:
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Are you currently employed?
Yes
No
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If yes, may we contact your current employer?
Yes
No
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Employment Experience
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Please list the names of your previous employers in chronological
order with present or last employer listed first. Be sure to account for all periods
of time including military service and any period of unemployment. If self-employed,
give firm name and supply business references.
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Present / Last Employer:
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Address, City, State :
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Phone:
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Dates Employed (From/To):
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Pay: Start $:
Final $:
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Position/Title:
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Reason for leaving:
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Last Supervisor:
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Employer:
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Address, City, State :
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Phone:
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Dates Employed (From/To):
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Pay: Start $:
Final $:
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Position/Title:
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Reason for leaving:
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Last Supervisor:
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Employer:
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Address, City, State :
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Phone:
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Dates Employed (From/To):
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Pay: Start $:
Final $:
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Position/Title:
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Reason for leaving:
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Last Supervisor:
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Have you ever been terminated or asked to resign from any job?
Yes
No
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If yes, explain circumstances:
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Please explain fully any gaps in your employment history:
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If laid off, give reason:
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Education
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Elementary School:
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Address:
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Years Completed:
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High School:
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Address:
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Years Completed:
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Diploma or Degree:
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Undergraduate College:
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Address:
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Years Completed:
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Diploma or Degree:
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Other (Specify):
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Specialized Skills and Qualifications
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Tell me about your drilling experience - Number of years? -
Type and model of rigs operated (mud, air, sonic, hollow stem, auger)? Type of industry
(oil - environmental - mines)?
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Tell me about your experience with submersible or turbine pumps.
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Do you have a welding certification?
Yes
No
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Tell me about your welding experience.
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What certifications do you have? OSHA - MSHA - HAZWOPER etc.
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Do you currently have a CDL?
Yes
No If
not, do you have the ability to obtain one?
Yes
No
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This position involves extensive travel - are you willing to
travel?
Yes
No or
relocate?
Yes
No
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Summarize any other special job-related skills, drilling equipment
and related machinery operated, office equipment operated, computer and software
experience, or other skills and information you feel may be helpful to us in considering
your application.
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Character References
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Please list persons who know you well - not previous employers
or relatives
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Name:
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Occupation:
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Address:
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Phone:
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Years known:
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Name:
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Occupation:
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Address:
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Phone:
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Years known:
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Equal Opportunity Employer
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It is the policy of Woodward Drilling to provide equal
employment opportunity to all employees and applicants for employment without regard
to race, color, religion, sex, national origin, handicap or veteran’s status;
or status within any other protected group. Various agencies of the United States
government require employers to collect information about applicants. Information
requested on this sheet is for purposes of compliance with these record-keeping
requirements and to determine recruiting and employment patterns. This
sheet will be kept confidential and maintained separately from your application
form.
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Applicant's Statement & Agreement
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In the event of my employment to a position at Woodward Drilling, I will comply with
all the rules and regulations of this Woodward Drilling. I understand that Woodward Drilling reserves
the right to require me to submit to a test for the presence of drugs in my system
prior to employment and at any time during my employment, to the extent permitted
by the law. I also understand that any other offer of employment may be contingent
upon the passing of a physical examination and a test for the presence of alcohol
and/or narcotics in my system, performed by a doctor selected by Woodward Drilling. Further,
I understand that at any time after I am hired, Woodward Drilling may require me to submit
to a physical examination and an alcohol and drug test to the extent permitted by
the law. I consent to the disclosure of the results of physical examinations and
related tests to Woodward Drilling. I also understand that should I decline to sign this
consent or decline to take any of the above tests, my application for employment
may be rejected or my employment may be terminated.
I understand that Woodward Drilling may investigate my driving record and my criminal
record and that an investigative consumer report may be prepared whereby information
is obtained through personal interviews with neighbors, friends, personal references,
and others with whom I am acquainted. This inquiry includes information as to my
character, general reputation, personal characteristics, and mode of living. I understand
that I have the right to make a written request within a reasonable period of time
to receive additional detailed information about the nature and scope of this investigation.
I further understand that Woodward Drilling may contact my previous employers, and I authorize
those employers to disclose to Woodward Drilling all records and information pertinent
to my employment with them. In addition to authorizing the release of any information
regarding my employment, I hereby fully waive any rights or claims I have or may
have against my former employer, their agents, employees, and representatives, as
well as other individuals who release information to Woodward Drilling, and release them
from any and all liability, claims or damages that may directly or indirectly result
from the use, disclosure, or release of any such information by any person or party,
whether such information is favorable or unfavorable to me.
I authorize the persons named herein as personal references to provide Woodward Drilling
with any pertinent information they may have regarding myself.
I hereby state that all the information that I provided on this application or any
other documents filled out to connection with my employment, and in any interview
is true and correct. I have withheld nothing that would, if disclosed, affect this
application unfavorably. I understand that if I am employed and any such information
is later found to be false in any respect, I may be dismissed. I understand if selected
for hire, it will be necessary for me to provide satisfactory evidence of my identity
and legal authority to work in the United States, and that federal immigration laws
require me to complete Form I-9 in this regard.
If hired, I agree as follows: My employment and compensation is terminable at will,
is for no definite period, and my employment and compensation may be terminated
by Woodward Drilling (employer) at any time, without good cause at the option of either
Woodward Drilling or myself. No implied, or oral, or written agreements contrary to the
express language of this agreement are valid unless they are in writing signed by
the President of Woodward Drilling. No supervisor or representative of Woodward Drilling, other
than the President of Woodward Drilling has any authority to make any agreements contrary
to the foregoing. This agreement is the entire agreement between Woodward Drilling and
the employee regarding the right of Woodward Drilling or employee to terminate employment
without good cause, and this agreement takes place of all prior and contemporaneous
agreements, representations, and understandings of the employee and Woodward Drilling.
If you have any questions regarding this statement, please ask a Woodward Drilling representative
before agreeing.
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Applicant's Authorization to Obtain Consumer Reports and/or Driving Records of Applicant
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This letter signed by the applicant below authorizes Woodward Drilling Company, Inc to obtain Consumer reports and/or Driving Records regarding said applicant.
Name:
Address:
City, State, Zip Code
Driver’s License #: State issued
Date: / /
Woodward Drilling Company, Inc
550 River Road
Rio Vista, CA 94571
I authorize Woodward Drilling Company, Inc to obtain Consumer Reports regarding my application. Also reports can be procured by Woodward Drilling Companies current insurance carrier considering my driving record.
I hereby authorize Woodward Drilling Company to procure such reports and additional reports about myself regarding the pre-employment application process and if hired this can be used to obtain additional reports as needed to evaluate my insurability or for other permissible purposes.
Applicants Signature _____________________________________
Print Name
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Please scan and email this signed application to hr@woodwarddrilling.com
If unable to scan and email please fax to (707) 374 – 5677
Or mail to Woodward Drilling, PO Box 336, Rio Vista, CA 94571
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Do not agree until you have read the above statement & agreement.
I agree
I disagree
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