Gas Well Security Pre-Application Form
Please fill out the form below
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  • For Background Check

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  • Employment Position

  • Education, Training and Experience

  • Military

  • Personal Information

  • Previous Employment

    Please describe past and present employment positions, dating back five years or four jobs (whichever is greater). Please account for all periods of employment. Even if you are attaching a resume, this section must be completed!
  • Please Read Each Paragraph, Submission of this application assumes agreement with these conditions. I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

    I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

    I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the reference I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation.