There are two sections to this application. Please note once you submit a section you cannot go back and edit it. 

General Employment Application Form

SECTION ONE

SECTION TWO

Have you had any moving violations during the past three years? If yes, how many?

Have you ever been denied a license or permit to operate a motor vehicle?

Has any license, permit, or privilege ever been suspended or revoked?

Do you have any physical condition which may limit your ability to perform the job applied for?

Are you now a member of the national guard?

If yes, please list your specialty, date entered, and discharge date.

Please list your work experience for the past five years beginning with your most recent job held. Boxes for three different jobs have been provided. Please only enter one job per box.

Include the following: name and phone number of employer, your job title, employment dates, pay or salary, reason for leaving, and list of responsibilites and skills.

List any additional experience or skills that may help in your work for this company..

Digital Signature of Applicant

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without previous notice. I hereby give Falcon Drilling & Blasting, Inc permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release Falcon Drilling & Blasting, Inc from any liablity as a result of such contract. I also undrstand that (1) Falcon Drilling & Blasting, Inc has a drug and alcohol policy that provides for pre-employment testing as well as random and / or periodic testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. In the event of employment, I understand that false or misleading information given in my application or interview (s) may result in discharge.

Date of Digital Signature