Tri-State Utility Contractors, Inc.
Drilling Is Not Boring To Us
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Applicant Information
Applicant Information
Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Phone Number:
*
Email:
*
Social Security Number:
*
Position Applying for:
*
Welder
Supervisor
Backhoe Operator
Track hoe Operator
Directional Driller Operator
Directional Driller Locator
Fuser
Truck Driver
Laborer
Maintenance Man
Date Available:
Desired Salary:
Are you at least 18 years of age?
*
Yes
No
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Do you have a valid Driver's License?
*
Yes
No
If yes, which state issued the license?
If yes, what license class is it?
Describe any of your work related skills, experience, or training that is related to the position being applied for:
Have you ever worked for this company?
*
Yes
No
If yes, when?
How did you hear about us?
Facebook
Craigslist
Google+
LinkedIn
Our website
Word of mouth
Other
High School Education
High School:
Address:
Did you Graduate?
Yes
No
When did you attend?
From?
To?
College Education
College:
Address:
Did you Graduate?
Yes
No
When did you attend?
From?
To?
Degree:
Additional Education
Additional Education:
Address:
Did you Graduate?
Yes
No
When did you attend?
From?
To?
Degree:
Professional Reference 1
Please Include Work-Related References
If work experience does not yield enough references, you may include non-family members as references provided they have known you for at least 1 year.
Full Name:
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Position:
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Company:
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Address:
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Phone Number:
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Professional Reference 2
Please Include Work-Related References
If work experience does not yield enough references, you may include non-family members as references provided they have known you for at least 1 year.
Full Name:
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Position:
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Company:
*
Address:
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Phone Number:
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Professional Reference 3
Please Include Work-Related References
If work experience does not yield enough references, you may include non-family members as references provided they have known you for at least 1 year.
Full Name:
*
Position:
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Company:
*
Address:
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Phone number:
*
Previous Employer
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Date Hired:
Left Position:
Reason for leaving:
May we contact your previous supervisor for a reference?
Yes
No
Previous Employer
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Date Hired:
Left Position:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Previous Employer
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Date Hired:
Left Position:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Military Service
Branch:
From:
To:
Rank at Discharge:
Type of Discharge:
If other than Honorable, explain
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I certify that, by submitting this application, my answers are true and complete to the best of my knowledge.
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I hereby also certify that all information in my resume is true. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
_______________________
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
