employment opportunities - join the weaver energy team today!

first name *

last name *

street address

city

state

zip

home phone

mobile phone

email *

If hired, do you have a reliable means of transportation to get to work? *

what is it?

minimum salary expected

Are you at least 18 years old? *

yes
no

driver's license no.

state

expiration date

Are you legally eligible for employment in the U.S.? (Proof of U.S. citizenship or immigration status will be required if hired) *

yes
no

Have you been convicted of a crime? *

yes
no

If yes, state the nature of the offense and the disposition of the case. Include dates and locations. (NOTE: The existence of a criminal record does not constitute an automatic bar to employment.)

type of employment you are seeking *

temporary
full-time
part-time

What position(s) are you applying for?

What hours/shifts would you prefer to work?

What hours/shifts would you prefer NOT to work?

Are you willing to work overtime? *

yes
no

Are you willing to work weekends? *

yes
no

Are you willing to work holidays? *

yes
no

Are you currently employed? *

yes
no

If hired, when would you be able to start? *

Have you ever worked for Weaver Energy before? *

yes
no

List any friends or relatives employed by this company:

Are you on layoff and subject to recall? *

yes
no

Have you ever been discharged or asked to resign from any position? *

yes
no

If yes, please describe:

How many days have you missed from school or work within the last year other than approved vacation, sick, or disability leave?

How many days have you been late to school or work within the last year other than approved vacation, sick, or disability leave?

Please describe:

What is your highest level of education attained? *

name of school:

location of school:

degree and major:

minor:

If currently in high school, are you enrolled in a recognized co-op program?

yes
no

if yes, identify program and school:

Are you a veteran? *

yes
no

If yes, give dates of service:

List any special skills or training:

job history #1 - company name

job history #1 - phone number

job history #1 - street address

job history #1 - city

job history #1 - state

job history #1 - zip

job history #1 - dates of employment

job history #1 - salary

job history #1 - job title

job history #1 - supervisor's name and title

job history #1 - description of duties

job history #1 - reason for leaving

job history #1 - may we contact this employer?

yes
no

job history #2 - company

job history #2 - phone number

job history #2 - street address

job history #2 - city

job history #2 - state

job history #2 - zip

job history #2 - dates of employment

job history #2 - salary

job history #2 - job title

job history #2 - supervisor's name and title

job history #2 - description of duties

job history #2 - reason for leaving

job history #2 - May we contact this employer?

yes
no

job history #3 - company

job history #3 - phone number

job history #3 - street address

job history #3 - city

job history #3 - state

job history #3 - zip

job history #3 - dates of employment

job history #3 - salary

job history #3 - job title

job history #3 - supervisor's name and title

job history #3 - description of duties

job history #3 - reason for leaving

job history #3 - May we contact this employer?

yes
no

job history #4 - company

job history #4 - phone number

job history #4 - street address

job history #4 - city

job history #4 - state

job history #4 - zip

job history #4 - dates of employment

job history #4 - salary

job history #4 - job title

job history #4 - supervisor's name and title

job history #4 - description of duties

job history #4 - reason of leaving

job history #4 - May we contact this employer?

yes
no

How many jobs have you had in the last five years not listed above? *

Why are you seeking a new position at this time? *

List any business-related outside interests and organizations you are active in:

I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information, I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third-party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment will be conditional upon passing such examination. During my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician. I further understand this is an application for employment and that no employment contract is being offered. I understand that if I am employed, such employment is for an indefinite period of time and the company may change wages, benefits, and conditions at any time. My employment is at will. No individual with the company is authorized to change the employment-at-will status except an officer of the company, who may do so only in writing. I have read and agree to the above. *

Please check the box if you have carefully read and agree to the preceding text.

employment opportunities at weaver energy

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