Employment Application

Only applications that are completely filled out will be considered.
*** PRESSING ENTER WILL SUBMIT YOUR APPLICATION*** Use your mouse or the tab button to advance to the next question.

Date:

Position(s) Applying For:
Driller
Driller Helper
Foreman
Other (please note)
Other:

Name: A value is required.*

Mailing Address:*

A value is required. Home Phone: A value is required.*

Cell Phone:

Salary Desired:

Date available to begin work?

Education

Type of School

Name of School

No. Years Completed

Major or Degree

High School
College Bus. or Trade School
Professional School
Other

Have you ever been convicted of a crime:

Yes
No

If yes, please explain

A conviction record will not necessarily be a bar to employment. Factors such as job relations, age and time of the offense, seriousness and nature of violation and rehabilitation will be taken into account.

Are you currently employed?
Yes
No

If so, may we contact your employer?
Yes
No
Have you applied or worked for Connors Drilling before?
Yes
No
If yes, when?
If yes, who was your job foreman?

Previous Employment

1.
Name of Employer:

Name of last supervisor:

Dates of employment:

From:

To:

Salary:

Phone #:

Last job title:

Reason for Leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

May we contact your employer:
Yes
No

2.
Name of Employer:

Name of last supervisor:

Dates of employment:

From:

To:

Salary:

Phone #:

Last job title:

Reason for Leaving (be specific):

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

May we contact your employer:
Yes
No

3.
Name of Employer:

Name of last supervisor:

Dates of employment:

From:

To:

Salary:

Phone #:

Last job title:

Computer:
PC
Mac
Both

Applications (list all that apply):

Other Skills:

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

Reason for Leaving (be specific):
Yes
No

Please list 3 professional references whom you have known at least 1 year.
Name

Position

Company

Telephone

Name

Position

Company

Telephone

Name

Position

Company

Telephone

Deepest hole you have drilled?

Have you drilled up-holes?
Yes
No

What types of mud and mud additives have you used?

What type of formations have you drilled?

What drilling companies have you previously worked for?

List up to five locations (states, provinces, areas) that you have previously drilled.

Name

Position

Company

Telephone

Name

Position

Company

Telephone

Number of years experience in underground mining?

Underground and Surface Drilling Experience

Number of years in surface mining?

Number of years as a drillers helper?

Number of years drilled?

Type of drill rigs?

Do you have suface or underground MSHA?
If yes, please list the date you will need a refresher

Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying: