Employment

First Name(Required)

Last Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Date of Birth(Required)

Position Applied For(Required)

Date Available(Required)

Which location are applying?(Required)

Casper, Wyoming

Boulder, Wyoming

Carlsbad, New Mexico

Monahans, Texas

Did you submit an application through Indeed?(Required)

Yes

Would you legally / medically be able to perform the job duties?(Required)

Yes

Do you have the legal right to work in the US?(Required)

Yes

To ensure safety for you and all employees, please list all pre-existing medical (physical or mental) conditions and current medications:(Required)

Have you ever worked for this company?(Required)

Yes

Have you ever been convicted of a felony?(Required)

Yes (If yes, please explain how)

If yes, please explain how.(Required)

Do you have a valid driver's license?(Required)

Yes

Do you have a valid CDL license?(Required)

Yes

Previous Employment: Company(Required)

All driver applicants driving in interstate commerce must provide the following information on all employers worked for during the preceding three years. Applicants to drive a commercial motor vehicle* in intrastate or interstate commerce shall also provide an additional seven years' information on those employers for whom applicant operated such vehicle. If applying for non-driving position, the two most recent positions you held are required. *Includes vehicles having GVWR of 26,001lbs or more; vehicles designed to transport 15 or more passengers; or any size vehicle used to transport hazardous materials in a quantity requiring placarding.

Phone(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title(Required)

Supervisor(Required)

Starting Salary(Required)

Ending Salary(Required)

Responsibilities(Required)

Start Date(Required)

End Date(Required)

Reason For Leaving(Required)

May We Call For A Reference(Required)

First Choice

Second Choice

Third Choice

Previous Employment: Company(Required)

Phone(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title(Required)

Supervisor(Required)

Starting Salary(Required)

Ending Salary(Required)

Responsibilities(Required)

Start Date(Required)

End Date(Required)

Reason For Leaving(Required)

May We Call For A Reference(Required)

First Choice

Second Choice

Third Choice

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Application Form