Application for Employment

DHI Energy Services is an Equal Opportunity Employer and is committed to excellence through diversity.

The application must be fully completed to be considered.

Please complete each section, even if you attach a resume.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

*

	Yes	No
Are You A U.S. Citizen?	Yes	No
Have You Ever Been Convicted Of A Felony?	Yes	No
If Selected For Employment Are You Willing To Submit to a Pre-Employment Drug Screening Test?	Yes	No
Do you carry a valid DL?	Yes	No
Do you have an active non-compete or non-circumvent agreement with any previous employers? Please provide a copy to HR manager	Yes	No

Position applied for *

Available Date * +

Desired Compensation *

Employment Type *

DL# *

State *

Expiry Date * +

Education * 🛈

	School	Years Attended	Degree Received	Major
1	School	Years Attended	Degree Received	Major
2	School	Years Attended	Degree Received	Major
3	School	Years Attended	Degree Received	Major
4	School	Years Attended	Degree Received	Major

Comments *

Employment History

Company 1 *

Title *

Dates from / to *

Pay Rate *

City *

State *

Company 2 *

Title *

Dates from / to *

Pay Rate *

City *

State *

Company 3 *

Title *

Dates from / to *

Pay Rate *

City *

State *

Other Work Experience Notes *

Upload Resume

Signature Disclaimer

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 *

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