Michael Thomas

(503) 810 0229

(971) 255-0417

michael@alltechdirectionaldrilling.com

"Creating solutions,
delivering results on time"

WE ARE A PGE CERTIFIED CONTRACTOR. (PORTLAND GENERAL ELECTRIC)
WE ARE A PGE CERTIFIED CONTRACTOR. (PORTLAND GENERAL ELECTRIC)
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Careers

ALLTECH DIRECTIONAL DRILLING

Employment Application

APPLICANT INFORMATION

Last Name
First
M.I.
Date
Street Address
Apartment/Unit #
City
State
ZIP
Phone
E-mail Address
Date Available
Social Security No.
Desired Salary
Position Applied for
Are you a citizen of the United States? Yes No
If no, are you authorized to work in the U.S.? Yes No
Have you ever worked for this company? Yes No
If so, when?
Have you ever been convicted of a felony? Yes No
If yes, explain

EDUCATION

High School
Address
From To Did you graduate?
Yes No Degree
College
Address
From To Did you graduate?
Yes No Degree
Other
Address
From To Did you graduate?
Yes No Degree

REFERENCES

Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address

PREVIOUS EMPLOYMENT

Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference? Yes No
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference? Yes No
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference? Yes No
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference? Yes No

MILITARY SERVICE

Branch
Addressfrom To
Rank at Discharge
Type of Discharge
If other than honorable, explain

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
Date