Job Application
GAS LLC (Graves Analytical Services LLC) | Our Services | Who We Are | Contact Us | Employment | Job Application

Please print & fax application to us!!!


 

                
                                        APPLICATION FOR EMPOYMENT  

ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER,

NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP

 OR ANY OTHER LEGALLY PROTECTED STATUS.

Position Sought: ________________________________________________________________________

How did you learn about the position? ________________________________________________________

Name_____________________________________________________________ Date________________

Address__________________________________ City___________________ State________ Zip_______

Home Phone ____________________Office Phone___________________Other Phone_________________

Email Address: ______________________________ Social Security Number:_________________________

On what date would you be available for work? ____________________ Desired Wage/Salary $_____________
Are you a U.S. citizen, or are you otherwise authorized to work in the U.S. without any restriction? [ ] Yes [ ] No
Have you ever been convicted of a felony? [ ] Yes [ ] No If yes, please describe circumstances: __________
_______________________________________________________________________________________

Have you ever been involuntarily terminated or asked to resign from any position of employment? [ ] Yes [ ] No
If yes, please describe circumstances: __________________________________________________________
_______________________________________________________________________________________
If selected for employment, are you willing to submit to a pre-employment drug screening test? [ ] Yes [ ] No

                                                                                  EDUCATION

School Name

Location

Years Attended

Degree Received

Major

     
     
     
     

Other training, certifications, or licenses held: ____________________________________________________
_______________________________________________________________________________________

List other information pertinent to the employment you are seeking: ___________________________________
_______________________________________________________________________________________

                                                                                  EMPLOYMENT

(Most Recent First.)

1. Employer_____________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any): _________________________

Address_________________________________ City___________________ State________ Zip_________

Phone____________________ Job Title_______________________ Supervisor_______________________

Starting Salary________________________________ Ending Salary_______________________________

Duties Performed _________________________________________________________________________

Reason for Leaving _______________________________________________________________________

2. Employer_____________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any): _________________________

Address_________________________________ City___________________ State________ Zip_________

Phone____________________ Job Title_______________________ Supervisor_______________________

Starting Salary________________________________ Ending Salary_______________________________

Duties Performed _________________________________________________________________________

Reason for Leaving _______________________________________________________________________

3. Employer_____________________________________________ Job Title_________________________

Dates Employed______________ Prior Position Held within Company (if any): _________________________

Address_________________________________ City___________________ State________ Zip_________

Phone____________________ Job Title_______________________ Supervisor_______________________

Starting Salary________________________________ Ending Salary_______________________________

Duties Performed _________________________________________________________________________

Reason for Leaving _______________________________________________________________________

Can we contact the most recent Employer?  Yes________       No________

Can we contact the most recent #2 & # 3 Employer?  Yes________       No________

 

Please give 3 references who are not family and do not live with you.  

Please list any skills you may have in the Oil & Gas Field? If “yes” Please explain! (Use back side sheet

if necessary)      

 HEALTH

Do you smoke?  Yes_________               No_________

Do you presently have or have had in the past any physical, emotional, or mental challenges that hindered

 you from performing any of your job duties? 

If “Yes” Please explain _____________________________________________________________________________

_________________________________________________________________________________________________

 

Are you willing to take a physical examination?   Yes________      No________

 

Are you on any medications or should be on any medications? ____________           

 If yes, please list medication(s) and the name and phone number of your doctor.  __________________________________________________________________________________________________

__________________________________________________________________________________________________

                                        ACKNOWLEDGMENT AND AUTHORIZATION

 

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days.

Any applicant wishing to be considered for employment

 beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will”

nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

It is further understood that this “at will” 

 employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing

by an authorized executive of this organization.In the event of employment, I understand that false or misleading information given in my application

or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

  

_________________________________________ ___________________

Signature of Applicant and Date

MAIL TO:

  3875 Hammer Ranch Road

  Colorado Springs, Co. 80929

  (719) 683-4009 Fax                 

  (719) 683-4000 Office          

  Or Email: joseph_gasllc@yahoo.com