Employment with 4J Well Service

If you are interested in joining the team at 4J Well Service, Inc please apply today! Call our office with any questions.

Please note that three (3) forms are required to apply:

1. Application for Employment (print or online)
2. Eligibility Verification (print only)
3. Background Authorization (print only)

Application
for Employment (Print)

Eligibility
Verification

Background
Authorization

To view forms, you will need Adobe Acrobat Reader which you can download for free.

Application for Employment (Online)

"*" indicates required fields

Step 1 of 6

16%

Section 1 - Personal Information

Name*

First Middle Last

Phone*

Secondary Phone (optional)

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have you ever applied for employment with us?*

Yes

If Yes: Month, Year, & Location of Employment

Position Desired*

Pay Expected*

Apart from absence for religious observance, are you available for full-time work?*

Yes

If No: What hours can you work?

Will you work overtime if asked?*

Yes

Are you legally eligible for employment in the United States?*

Yes

Are you willing to move to Baker, MT?*

Yes

When are you available to begin work?*

How did you learn of our organization?

Other special training or skills? (Languages, machine operation, etc.)

Section 2 - Education

College - Name & Location

Did you graduate?

Yes

Years Completed

Course of Study

Degree or Diploma

High School - Name & Location

Did you graduate?

Yes

Years Completed

Course of Study

Degree or Diploma

Elementary School - Name & Location

Membership in professional or civic organization (exclude those which may disclose your race, color, religion, or national origin)

Section 3 - Previous Employment

Please give accurate and complete full-time and part-time employment record. Start with present or most recent employer

Employer #1

Company Name

Company Phone Number

Company Address

Street Address Address Line 2 City State ZIP Code

Name of Supervisor

Employment Term (Month/Year to Month/Year)

Weekly Pay (Start/Last)

State Your Job Title and Describe Your Work

Reason for Leaving

Employer #2

Company Name

Company Phone Number

Company Address

Street Address Address Line 2 City State ZIP Code

Name of Supervisor

Employment Term (Month/Year to Month/Year)

Weekly Pay (Start/Last)

State Your Job Title and Describe Your Work

Reason for Leaving

Employer #3

Company Name

Company Phone Number

Company Address

Street Address Address Line 2 City State ZIP Code

Name of Supervisor

Employment Term (Month/Year to Month/Year)

Weekly Pay (Start/Last)

State Your Job Title and Describe Your Work

Reason for Leaving

Employer #4

Company Name

Company Phone Number

Company Address

Street Address Address Line 2 City State ZIP Code

Name of Supervisor

Employment Term (Month/Year to Month/Year)

Weekly Pay (Start/Last)

State Your Job Title and Describe Your Work

Reason for Leaving

Employer #5

Company Name

Company Phone Number

Company Address

Street Address Address Line 2 City State ZIP Code

Name of Supervisor

Employment Term (Month/Year to Month/Year)

Weekly Pay (Start/Last)

State Your Job Title and Describe Your Work

Reason for Leaving

We may contact the employers listed above unless you indicate those you do not want us to contact below (give name & reason)

Section 4 - Military Experience

Complete this section if you served in the U.S. Armed Forces

Branch of Service

Period of Active Duty (Month/Year to Month/Year)

Rank at Discharge

Date of Final Discharge

Describe your duties and any special training

Section 5 - Final Questions

The information requested is needed for a legally permissible reason, including, without limitation, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination based on the basis of age with respect to certain individuals. The laws of most States also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status or physical or mental handicap or disability.

Marital Status

Single

Engaged

Married

Seperated

Divorced

Widowed

Have you ever been bonded?

Yes

If Yes, with what employers?

Are you over 18 years of age?

Yes

If no, employment is subject to verification of minimum age.

What was your previous address?

Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses, which have not been annulled, expunged, or sealed by the court?

Yes

If Yes, describe in full

Have you received Workers Compensation or Disability Income Payments?

Yes

If Yes, please describe

Have you any physical defects which preclude you from performing certain jobs?

Yes

If Yes, please describe limitations

Height (ex: 6ft 4in)

Weight (lbs)

How long at your present address?

Section 6 - Submit Information

The information provided in the Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained, you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.

Agree

Disagree

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Employment with 4J Well Service

Application for Employment (Print)

Eligibility Verification

Background Authorization

Application for Employment (Online)

Application for Employment (Online)

Section 1 - Personal Information

Section 2 - Education

Section 3 - Previous Employment

Employer #1

Employer #2

Employer #3

Employer #4

Employer #5

Section 4 - Military Experience

Section 5 - Final Questions

Section 6 - Submit Information

Application
for Employment (Print)

Eligibility
Verification

Background
Authorization