Personal Information
Please fill in all fields that apply to you. Fields with red asterisks (*) are required. Incomplete applications may not be considered. Connors Drilling, LLC may contact you for your Driver's License and Social Security information upon review of your application.

Name: * Last * First Middle

* Email Address:
If you don't have an email address, please enter "No Email"

Present Address:
Street City

State/Province Postal Code Country

Permanent Address:
Street City

State/Province Postal Code Country

* Phone Number:

Employment Desired

* What is your drilling experience level? Experienced Driller Inexperienced Driller Experienced Helper Inexperienced Helper Please Choose

Position:

Date you can start (MM/DD/YYYY):

Are you employed now? Yes No Choose

If so, may we contact your present employer? Yes No Choose

Have you ever applied or worked for Connors Drilling USA before? Yes No Choose

If yes, where?

If yes, when? (MM/DD/YYYY)

Education

Grammar School:
Name and Location Years Attended (YYYY-YYYY)

High School:
Name and Location Years Attended (YYYY_YYYY)

Date Graduated (MM/DD/YYYY)

College, Trade, Business, or Correspondence School:
Name and Location Years Attended (YYYY_YYYY)

Date Graduated (MM/DD/YYYY)

Subject(s) Studied

U.S. Military Service:
Name and Location Years Attended (YYYY-YYYY)

Discharge Date (MM/DD/YYYY):

Subject(s) Studied/Duties Performed

Activities (Civic, Athletic, Fraternal, Etc.) Other than religious or organizations in which the name or character of which indicates the race, creed, color, or national origin of its members.

Former Employers:
(List the last four employers, starting with the last one first)

Employer 1 (most recent):
Dates Employed: Start Date (MM/YYYY) End Date (MM/YYYY)

Name and Address of Employer

Salary $

Position

Reason for Leaving:

Employer 2:
Dates Employed: Start Date (MM/YYYY) End Date (MM/YYYY)

Name and Address of Employer

Salary $

Position

Reason for Leaving:

Employer 3:
Dates Employed: Start Date (MM/YYYY) End Date (MM/YYYY)

Name and Address of Employer

Salary $

Position

Reason for Leaving:

Employer 4:
Dates Employed: Start Date (MM/YYYY) End Date (MM/YYYY)

Name and Address of Employer

Salary $

Position

Reason for Leaving:

Underground and Surface Drilling Experience:

1. Number of years experience in underground mining?

2. Number of years experience in surface mining?

3. Type of drill rigs?

4. Length of time working on each rig?

5. Deepest hole you have drilled?

6. Have you drilled up-holes?

7. What types of mud and mud additives have you used?

8. What drilling companies have you worked for previously?

9. What type of formations have you drilled?

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

References:
Give the names of three persons not related to you, whom you have known at least one year.

Reference 1:
Name Business

Street Address State/Province Postal Code

Years Aquainted

Reference 2:
Name Business

Street Address State/Province Postal Code

Years Aquainted

Reference 3:
Name Business

Street Address State/Province Postal Code

Years Aquainted

Notes and/or Additional Comments for Consideration:

By clicking the "Submit Application" button below, I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of my wages and salary, be terminated at any time without any previous notice. Submission of this application shall be considered as medical authorization for Connors Drilling, LLC to obtain all medical information concerning applicant from all doctors or hospitals who have attended applicant or where applicant has been treated. I understand that all applicants are subjected to pre-employment and random drug testing. I certify that I am at least 18 years of age.

You may want to print a copy of this form for your records before clicking the submit application button.
Successful submission results in a thank you page. Questions should be directed to jobs@connorsdrillingusa.com.

Please CLICK SUBMIT ONLY ONE TIME.
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