Ironhand-Drilling

Application Information

Position Applying For*: --------- Rig Manager Driller Derrick Hand Motors Floorhand Leasehand Other

Date Available*:

Personal Information

First Name*:

Last Name*:

Middle Name:

City*:

Province:

Main Phone*:

Other Phone:

Email Address:

Are you over 18?

Are there any limitationswhich would prevent your from fulfilling the duties of thisjob?

Transportation

Do you have reliable transporation?

Do you have a valid driver's license?

License Province:

License Class: --------- 1 2 3 4 5 6 7

Rig Experience

Single Rig Experience:

Double Rig Experience:

Triple Rig Experience:

Hydraulic Rig Experience:

Electric Rig Experience:

Number of CAODC Accumulated Safety Days:

Last 3 Employers (recent first, include drilling contractors)

Employer 1

Name:

City:

Phone:

Position:

Start Date:

End Date:

Reason For Leaving:

May we contact this company?

Employer 2

Name:

City:

Phone:

Position:

Start Date:

End Date:

Reason For Leaving:

May we contact this company?

Employer 3

Name:

City:

Phone:

Position:

Start Date:

End Date:

Reason For Leaving:

May we contact this company?

Education

High School Grade Completed:

Post Secondary: --------- University College Trade School none

Post Secondary Years Attended:

Are you enrolled in a Rig Technician Apprenticeship Program?

Apprenticeship Level:

Certificates

Floorhand:

First aid:

H2S alive:

Oilfield boilers:

Confined space:

Loader:

Tdg clear language:

Bop 1st line:

Well control 2nd line:

WHMIS:

Rig rescue:

Fall protection:

Other:

Conditions of Employment:

I understand that the job/position I am applying for is seasonal or is based on specific project. Section 55(2) of the Alberta Employment Standards Code authorizes an employer to terminate your employment without further notice or payment 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 been impossible to perform because of unforeseeable or unpreventable causes beyond control.
Safety Regulations: I understand that failure to comply with the company and government safety regulations is ground for dismissal. I understand and agree that I am subject to "Reasonable Cause", "Post Incident", "Pre-Access", or "Conditional Basis" testing for substance abuse and may be required to undergo an alcohol/drug test at a medical facility designated by the company. I understand employment is conditional upon a negative alcohol/drug test.
Disclaimer: I understand that by submitting this application for employment, I certify that all information contained in this application is true and accurate. I understand that false information may result in no offer of employment or immediate dismissal. I authorize Ironhand Drilling Inc. Personnel Department to contact either my present or previous employer for references. Upon employment, I agree that my Social Insurance Number may be used as an employee I.D. number.

By submitting, I agree that all info entered was done accurately & truthfully and hereby agree to the above Conditions of Employment.