Employment Application

Application for Employment

Excalibur Well Services

Personal Information

Education

Work History

ACKNOWLEDGMENT

WORK HISTORY

Current or Most Recent Employer

Start Date

Address

Start Position

Name and Title of Supervisor

End Date

Telephone

End Position

Description of Duties

Reason for Leaving

Previous Employer

Start Date

Address

Start Position

Name and Title of Supervisor

End Date

Telephone

End Position

Description of Duties

Reason for Leaving

Previous Employer

Start Date

Address

Start Position

Name and Title of Supervisor

End Date

Telephone

End Position

Description of Duties

Reason for Leaving

In addition to your work history, what other experiences, skills or qualifications would be beneficial to our Company?

ACKNOWLEDGMENT
Check the box next to each statement to verify that you have read and understood each.

1. I understand that if I am being considered for employment by Excalibur Well Services Corporation (“the Company”), I will be required to submit to a post-offer physical and drug/alcohol testing (all of which will be paid for by the Company) and to authorize the release of the physical examination and test results to the Company. Applicants whose test results are positive (prohibited substances present) will not be eligible for further employment consideration.

2. Any acceptance of employment will be predicated upon the truthfulness of the written and verbal statements contained within this Application and pre-employment process. I understand that should my employer find that any statement I have made is not truthful, any job extended to me may be withdrawn and, if employed, I may be subject to termination.

3. I authorize my employer to make any investigation deemed necessary for employment consideration and promotion within the organization.

4. I understand this Application for Employment is not to be confused as a guarantee of employment for a specific time. I further understand that my employment with the Company does not constitute any form of contract, implied or expressed, and such employment will be terminable at will either by myself or my employer upon notice of one party to the other. My continued employment is dependent on satisfactory performance and the continued need for my services as determined by this organization.

5. I grant my employer approval, after my termination of employment to release information which it may deem appropriate regarding my employment with or termination from the organization, to anyone who has a reasonable basis for making such inquiry. So long as the information disclosed is not known by this organization to be inaccurate, this organization shall not incur legal liability of any nature in connection with the furnishing of such information.

6. I understand that my Application for Employment will be placed in an active status for a period of six months during which time it will be reviewed as job openings occur in my area(s) of job interest. I also understand that should I wish to continue being considered for job openings beyond the six month period, I must reapply by (a) submitting a new Application for Employment or by (b) submitting a letter requesting renewal of my Application and including an update of my qualifications (recent work history, educational achievements, etc.).

7. I acknowledge that I have read all of the above statements and that I understand them.

Signature (Typed Name)*

Date*

PERSONAL INFORMATION

EDUCATION

WORK HISTORY

ACKNOWLEDGMENT
Check the box next to each statement to verify that you have read and understood each.

PERSONAL INFORMATION

EDUCATION

WORK HISTORY

ACKNOWLEDGMENT Check the box next to each statement to verify that you have read and understood each.

ACKNOWLEDGMENT
Check the box next to each statement to verify that you have read and understood each.