I understand that this is not an Employment Application.  This inquiry will, however, be reviewed, and my qualifications considered for possible fob openings in the near future.  If this company finds my qualifications and employment background match a current opening I will be contacted to complete an Application for Employment

The information below is needed to complete this review.

Required Fields: *

* First name: Middle initial:
* Last name:
* Phone: Alternate Phone:
Pager Number: E-mail:

* Street address: State:
Address (cont.): * Zip/Postal code:
* City: Province/Country:

* Social Security Number: - -
Are you 18 years or older? Yes No

If applying for Offshore Job are you able to Swim? Yes No
If applying for Offshore Job do you have Transportation available? Yes No
Do you have a Pictured I.D.? Yes No
Are you able to Support your weight for 7 seconds? Yes No

How did you hear about this position? Select any of the following options that apply:
Newspaper Friend T.V. Internet Other

If you checked other, please describe:

Please indicate what job you are applying for:

History with Crown Oilfield Service, Inc:

Have you ever worked for Crown Oilfield before? Yes No

From: (mm/dd/yyyy) To: (mm/dd/yyyy)
Where?

Type of Employment Available For:

Check all that apply

Off Shore   On Shore   Full Time    Part Time 		  Hours/Shift Available
 
  Days Available
 

Education:

Check the number of years completed for each of the following:

List any Trade School Experience:

High School
1    2    3   4

Undergrad College
1    2    3   4

Graduate College
1    2    3   4

 

Employment Experience:

Start with your present of last job.  Include any job-related military service assignments and volunteer activities.  You mat exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

 

 

TOTAL Years Offshore Experience
Offshore Platform
Years Months
Type of work: (Welder, Rig, etc.) 		Offshore Rig
Years Months
Type of work: (Welder, Rig, etc.)
 

1.

 Employer
 
    Can we contact you current Employer

Dates Employed

Work Performed

FROM

 TO




 Address
 

Hourly Rate/Salary
STARTING FINAL
 Job Title
 		 Supervisor
 Telephone Number (s)
  		 Reason for Leaving
 

2.

 Employer
 

Dates Employed

Work Performed

FROM

 TO




 Address
 

Hourly Rate/Salary
STARTING FINAL
 Job Title
 		 Supervisor
 Telephone Number (s)
  		 Reason for Leaving
 

3.

 Employer
 

Dates Employed

Work Performed

FROM

 TO




 Address
 

Hourly Rate/Salary
STARTING FINAL
 Job Title
 		 Supervisor
 Telephone Number (s)
  		 Reason for Leaving
 

4.

 Employer
 

Dates Employed

Work Performed

FROM

 TO




 Address
 

Hourly Rate/Salary
STARTING FINAL
 Job Title
 		 Supervisor
 Telephone Number (s)
  		 Reason for Leaving
 

Specialized Skills:

Certified Pipe Welder 6G Fitter Scaffold Builder Offshore Platform Rigger
Certified Structural Welder 3G-4G Rigger Crane Operator Hydraulic

Others (list)
Fitter/Welder Forklift Crane Operator Friction

Business or Work References:

1.                                          ( )
                         (NAME)                                                                                                              (PHONE)

   
                   (Company & Location)
2.                                          ( )
                         (NAME)                                                                                                              (PHONE) 

   
                   (Company & Location)
3.                                          ( )
                         (NAME)                                                                                                              (PHONE)

   
                   (Company & Location)

Other Qualifications:

Summarize special job-related skills and qualifications acquired from employment or other experience.