403.343.1710 or Toll Free: 1.800.662.7139

Application Form

FIELDS MARKED WITH A * ARE REQUIRED.

DATE *	POSITION(S) APPLIED FOR (List in order of preference) 1) * 2) 3)
SURNAME *	GIVEN NAMES *	NAME GENERALLY KNOWN BY

Personal Information

ADDRESS*
APARTMENT NUMBER
CITY/TOWN *
PROV/STATE
POSTAL CODE *
DATE OF BIRTH *
HOME PHONE NUMBER *
CELL PHONE NUMBER *
EMAIL *
RESUME *

MAILING ADDRESS IF DIFFERENT FROM ABOVE

HAVE YOU EVER WORKED FOR THIS COMPANY BEFORE? IF YES PLEASE SPECIFY RIG OR SUPERVISOR.

DO YOU HAVE YOUR OWN TRANSPORTATION?

IN CASE OF AN EMERGENCY, WHOM WOULD YOU WISH NOTIFIED?	NAME *
	PHONE RES *
	PHONE BUS
ADDRESS

Certification

Note: Payroll must have photo copies of your valid H2S and First Aid tickets or the rate of pay will be the uncertified rate.

TICKET	TICKET NUMBER	EXPIRY DATE
BOP WELL SERV
BOP 1ST LINE
H2S
FIRST AID
BOILER
DRIVER'S LICENSE NUMBER AND CLASS
CLASS	DL NUMBER	DL EXPIRY
OTHER (LIST)

Previous Employment

EMPLOYER	FROM	TO	POSITION	AREA WORKED




NUMBER OF YEARS WORKED IN THE DRILLING/SERVICING INDUSTRY:

Upon the final acceptance of this application, the employee shall enter a formal employment agreement with employer. This company reserves the right to cancel the employment of applicant upon proof of misrepresentation in this application, upon receipt of unsatisfactory references, uponfailure to pass any physical examination, upon any evidence of intoxication or impairment when reporting for work or upon any act of dishonesty.

I certify that all the information in this application is true and complete. If accepted for employment I understand that I am required to abide by all safety regulations regarding clothing and abide by all other company policies.

"The job/position you are applying for is seasonal or is based on specific projects. Section 58 of the Alberta Employment Standards Code authorizes an employer to terminate your employment without furthur notice or payments in lieu of notice at:

a) the completion of the drilling season;
b) the completion of the well for which you are being hired; or
c) continued employment is or has become impossible for the employer to perform because of unforseeable or unpreventable causes beyond his control, eg. Poor drilling results, decline in the price of crude oil,etc."

Probation Period

There will be a probation period of 60 working days for all new employees.

DATE *	NAME AS IT WOULD BE SIGNED *

All information given in this application will be kept strictly confidential when it is received.