Registration: TK Gas Services, Inc. Shiftboard

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* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
I am seeking permanent position
 Yes  No
I will be able to report to work _____ days after being notified I am hired.
Work the following shifts: (check all that apply)
Any
Day
Night
Position Applying For
Well Tender
Roustabout
Heavy Equipment Operator
I & E/Electronics
Office
Truck Driver

If necessary for the job, I am able to work overtime
 Yes  No
If necessary for the job, I am able to provide a valid Driver's License
 Yes  No

If so, fill out the following:

Issuing state:
Type:

Endorsements:
Hazardous Material
Tankers
School Bus
Passengers
Tank with Hazardous Materials
Double/Triple trailers

EMPLOYMENT HISTORY

List most recent employment first. Be sure all your experience or employers related to this job are listed here.

1. Employer name and address:
Pay $ / Per
Position title/duties, skills:
Supervisor and Telephone:
Start date:
End date:
Reason for leaving:



2. Employer name and address:
Pay $ / Per
Position title/duties, skills:
Supervisor and Telephone:
Start date:
End date:
Reason for leaving:




3. Employer name and address:
Pay $ / Per
Position title/duties, skills:
Supervisor and Telephone:
Start date:
End date:
Reason for leaving:



4. Employer name and address:
Pay $ / Per
Position title/duties, skills:
Supervisor and Telephone:
Start date:
End date:
Reason for leaving:

EDUCATION
High School
Years completed
Field of study
Graduate or degree



College/University
Years completed
Field of study
Graduate or degree
Business/technical
Years completed
Field of study
Graduate or degree



Additional
Years completed
Field of study
Graduate or degree

MILITARY
Are you a veteran?
 Yes  No
Duty/specialized training:

SKILLS & QUALIFICATIONS
Do you have any computer skills?
 Yes  No
Equipment you are qualified to operate:
Dozer
Backhoe
Trackhoe
Forklift
Manlift
Other
If other, please list:
Certifications:
OSHA
OSHA 30
Safeland
First Aid
CPR
Other
If other, please list:
Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer's attention:

REFERENCES

List two personal references who are not relatives or former supervisors.

First Reference Name
Address, City, State and Zip
Telephone
Occupation
Years known


Second Reference Name
Address, City, State and Zip
Telephone
Occupation
Years known

CONTACT
In case of accident or illness, please contact:
Name:
Daytime phone:


Address:
Relationship

INFORMATION TO THE APPLICANT

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. If employed, you will be required to supply your social security card and drivers license or other proof of authorization to work in the United States. You will also be subject to a pre-employment drug test as well as be entered into a pool for random drug testing. You also will be subject to a background check, as well as be asked to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.

 

TK Gas Services, Inc.  is an Equal Employment Opportunity (EEO) employer and does not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status or disability (in compliance with the Americans with Disabilities Act) with respect to employment opportunities.

* Signature of applicant (please type your full name)
* Date



We appreciate your time and interest


 
 
New Concord, Ohio 43762
740-826-0303
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