Personal Information

Application For: Pole Truck Driver

• Full Name: *
• Street Address: *
• City: *
• State: Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
• Zip Code: *
• Phone #: *
• Email: *
• Confirm Email: *
• Driver's License Number/State/Type: *
• Preferred Location: Select Midland, TX Lovington, NM Either
• Highest Level of Education: *
• Previous Employer: *
• Dates Worked: *
• Previous Duties: *

STATEMENT (Please read this statement carefully before signing this application):

I understand that employment with BATTLE ENERGY SERVICES is at-will, meaning that I or BATTLE ENERGY SERVICES may terminate my employment at any time, or for any reason consistent with applicable state or federal law.

I authorize BATTLE ENERGY SERVICES to conduct a thorough background investigation· of my work and personal history, and verify all data given on this application and during interviews. I hereby release the Organization, and its representatives or agents, from any liability that might result from such an investigation. I authorize all individuals, schools, and firms named to provide any requested information and release them from all liability for providing the requested information.

I understand that BATTLE ENERGY SERVICES requires the successful completion of a drug and alcohol test as a condition of employment.

I understand this application will be active for a period of 90 days; after that time, if I wish to be considered for employment, I must submit a new application. I certify that all the statements in this completed application are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal to hire.