Tech Job - Florence Location

Have you lived at the above residence for at least 3 years?

Yes

No

Employment

Position applying for

Temporary

Part Time

Full Time

Who referred you?

Rate of pay desired

Have you worked here before? Yes No

Are you currently employed?

Yes

No

Relatives In Our Employment

list any relatives you have that currently work for Keenan Energy

Have you ever been convicted of a felony?

Yes

No

Have you ever worked for this company under another name?

Yes

No

Are you applying for a driving position?

Yes

No

Full Company Address

Full Company Address

Full Company Address

City City

State / Province State / Province

Country Country

Employment Record

The U.S. Department of Transportation requires that driver applications show all employment for the past three years. They must also show commercial driver employment for the seven years immediately preceding this year period. §391.21 (B) (10), (11)

Start with last or current

• position, including military experience, and work back.

List courses and training in maintenance work

Clerical Exprience & Qualifications

Indicate training and exprience in the following areas

Typing (wpm)

Years of Experience

Shorthand (wpm)

Years of Experience

Years of Experience

Filing

Years of Experience

Computers

Years of Experience

Word Processing Equipment

Years of Experience

Key Punch

Years of Experience

Calculator

Years of Experience

Adding Machine

Years of Experience

Years of Experience

Years of Experience

Years of Experience

Years of Experience

Switchboard Equipment

Years of Experience

Tabulator

Years of Experience

Accounting

Years of Experience

Years of Experience

Interline

Years of Experience

Claims

Years of Experience

Cashier

Years of Experience

Dispatcher

Years of Experience

Rates (indicate tariffs with which you have worked)

Platform Exprience & Qualifications

Indicate training and exprience in the following areas

List types of platforn experience and number of years of each

List courses or training in platform work

Job Function

Indicate training and exprience in the following areas

Years of Experience

Diesel Engine Tune-up and Rebuild

Years of Experience

Gas Engine Tune-up and Rebuild

Years of Experience

Years of Experience

Years of Experience

Air Conditioning

Years of Experience

Body Work

Years of Experience

Electrical Repair

Years of Experience

Frame & Wheel Alignment

Years of Experience

Brakes

Years of Experience

Cooling System

Years of Experience

Inspections

Years of Experience

Years of Experience

Shop Equipment

Indicate training and exprience in the following areas

Electrical Diagnostic Equipment

Years of Experience

Sheet Metal Equipment

Years of Experience

Years of Experience

Engine Rebuilding

Years of Experience

Years of Experience

Electric Welder

Years of Experience

Years of Experience

Paint Spray Gun

Years of Experience

Air Conditioning

Years of Experience

Years of Experience

Wheel & Tire Balancing Machine

Years of Experience

Years of Experience

Engine Dynamometer

Years of Experience

Chassis Dynamometer

Years of Experience

Magnetic Crack Detector

Years of Experience

Years of Experience

Noise Measuring Equipment

Years of Experience

Smoke Measuring Equipment

Years of Experience

Inspections

Years of Experience

Years of Experience

Got a Resume? Attach It Below

Maximum file size : 15MB

Application Must Read & Sign

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.

It is also agreed and understood that under the Fair Credit Reporting Act, Public Law 91-508, I have been told that this investigation may include and investigative Consumer Report. including information regarding my character, general reputation, personal characteristics, and mode of living.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

If hired, I agree to abide by all the rules and policies of the employer.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

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