Shaft Drillers On-line Application

You may complete and print this application and mail it to:
Shaft Drillers International
70 Gum Springs Road
Morgantown, WV 26508
(Print before clicking on the submit button)

 Are you a previous employee of a Shaft Drillers operating company?

If so when? From Invalid format. Invalid format.(Month - Day -Year(use 4 digits for year)
Are you legally eligible for employment in this country?
(Proof of U.S. citizenship or immigration status will be required upon employment.
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Address
A value is required.
A value is required.     A value is required.Invalid format.
Have you been convicted of a
felony in the last seven (7) years?
(Such conviction may be relevant
if job-related, but does not bar
you from employment.)


Employment History

List your last four (4) Employments, assignments or volunteer activities, starting with the most recent, including military experience.

Position:
 From: To Job Title Company
Employment Address:
 Street City State Zip Telephone
Immediate Supervisor
Title
Summarize the nature of work performed and job responsibilities
Reason For Leaving
Hourly Rate/Salary
Start $ Per       Final $ Per
Position:
 From: To Job Title Company
Employment Address:
 Street City State Zip Telephone
Immediate Supervisor
Title
Summarize the nature of work performed and job responsibilities
Reason For Leaving
Hourly Rate/Salary
Start $ Per       Final $ Per
Position:
 From: To Job Title Company
Employment Address:
 Street City State Zip Telephone
Immediate Supervisor
Title
Summarize the nature of work performed and job responsibilities
Reason For Leaving
Hourly Rate/Salary
Start $ Per       Final $ Per
Position:
 From: To Job Title Company
Employment Address:
 Street City State Zip Telephone
Immediate Supervisor
Title
Summarize the nature of work performed and job responsibilities
Reason For Leaving
Hourly Rate/Salary
Start $ Per       Final $ Per

Skills and Certifications
Summarize Special Skills and Qualifications Acquired From Employment or Other Experiences
That May Qualify For Work With
Our Company

Educational Background
 
Name and Locations
     
High School
Years Completed
Did You Graduate?
Course Of Study
College
Years Completed
Did You Graduate?
Course Of Study
Other
Years Completed
Did You Graduate?
Course Of Study

Personal References
Telephone:
Years Known
 Relationship
Name
Telephone
Years Known
 Relationship
Name
Telephone
Years Known
 Relationship

Please take a moment to review your information, and print a copy for your records. Then read the statement below, initial, and date. It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand that I am an "at will" employee, meaning that I am free to resign at any time, and the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

Shaft Drillers International is an Equal Opportunity Employer

By typing your initials and dating this form you hereby agree to the above statement.

Enter Your Initials Here:
Date:    

If the form does not process scroll up and complete all required fields.		 If you are mailing in your application please print this completed form and mail to the address at the top of the page.