Application for Employment

Please submit the following form to apply for employment with California Well Services, LLC.

California Well Services, LLC (CWS) is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.

Personal Information

Your Full Name

Address

City

State

Zip Code

Home Phone

Cell Phone

Email


Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver's license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

Position Applied for

Is there any information we would need about your name or use of another name for us to be able to check your work record? Please specify.

Do you have any relatives who are presently (or have formerly been) employed by California Well Services? If yes, please enter their name(s).

How were you referred to California Well Services?

Have you ever been convicted of a felony?
NoYes

If yes, please explain

Educational History

Elem./Jr. High
School Name and Location

Years Completed


High School
School Name and Location

Years Completed

Degree/Diploma


College
School Name and Location

Years Completed

Degree/Diploma


Tech. Training
School Name and Location

Years Completed

Degree/Diploma


Other School or Training
School Name and Location

Years Completed

Degree/Diploma

Employment Record

Please include all employment for the last five years, listing present employer first.

Company Name (most current)

Position Held

Dates Employed

Address

Manager or Supervisor

Telephone

Wage or Salary (List Hourly, Monthly or Annually)

Reason for Leaving


Company Name

Position Held

Dates Employed

Address

Manager or Supervisor

Telephone

Wage or Salary (List Hourly, Monthly or Annually)

Reason for Leaving


Company Name

Position Held

Dates Employed

Address

Manager or Supervisor

Telephone

Wage or Salary (List Hourly, Monthly or Annually)

Reason for Leaving


NOTE: Please attach a separate document to list additional employers, if necessary. Acceptable files include pdf, txt, doc, docx, xls, xlsx. File limit not to exceed 4MB.


We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for the exclusion:

Employer's Name

Reason Not to Contact?


Employer's Name

Reason Not to Contact?

References

Please do not include relatives or former employers.

Name

Years Known

Address

Telephone

Cell Phone

Relationship

Occupation


Name

Years Known

Address

Telephone

Cell Phone

Relationship

Occupation

Work Availability

If your application receives favorable consideration, when will you be available to begin work?

Do you have any objection to working overtime?
YesNo

Can you work overtime without prior notice?
YesNo

Can you work on Saturday?
YesNo

Can you work on Sunday?
YesNo

Can you travel if required by this position?
YesNo

Salary or Hourly Rate Requirements

If your application receives favorable consideration, what salary/hourly rate would you require?

Optional Resume Attachment

Please attach a work resume if available. Acceptable files include pdf, txt, doc, docx, xls, xlsx. File limit not to exceed 8MB.