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Position applying for

Personal Information

Last Name

First Name

Middle Initial

Address

City Prov

Postal Code

Home

Work

Cell

Email Address

Are you able to work in Canada?

Yes    No

Transportation Information

Transportation?
Yes    No

If yes, type of vehicle

Valid Licence?
Yes   No

Licence Class

Previous Employment

Worked for Horizon Drilling Previously?

Yes No

If so, supervisor name

First Employer:

Position	Company Name	Rig No.
Date:	From M/D/Y to M/D/Y
Employer Name		Employer Phone
Reason for leaving

Second Employer:

Position
Company Name

Rig No.

Date:

From M/D/Y to M/D/Y

Employer Name
Employer Phone

Reason for leaving

Third Employer:

Position
Company Name

Rig No.

Date:

From M/D/Y to M/D/Y

Employer Name
Employer Phone

Reason for leaving

Certificates

Drivers Licence	Certificate Number: Expiry Date:
Well Control	Certificate Number: Expiry Date:
First Line BOP	Certificate Number: Expiry Date:
First Aid	Certificate Number: Expiry Date:
Confined Space	Certificate Number: Expiry Date:
Loader Operation	Certificate Number: Expiry Date:
GODI	Certificate Number: Expiry Date:
H₂S Live	Certificate Number: Expiry Date:
T.D.G.	Certificate Number: Expiry Date:
Boiler	Certificate Number: Expiry Date:
W.H.M.I.S	Certificate Number: Expiry Date:
Fall Arrest	Certificate Number: Expiry Date:
Rig Rescue	Certificate Number: Expiry Date:
PST	Certificate Number: Expiry Date:
Hearing Test	Certificate Number: Expiry Date:
Any Other Certificates:

List any physical limitations or previous injuries that may affect your ability to perform the tasks of the job applied for:

ATTACH FILES

To attach your resume and/or cover letter to your application, please select it from your computer using the provided fields. It will be sent to us as an email attachment. We only accept attachments that are of a 'PDF', 'DOC', 'DOCX', or 'TXT' file format. All other file types will be skipped.

Select File 1:

Select File 2:

NOTICE TO ALL APPLICANTS

The position that you are applying for is seasonal or is based on specific projects. Section 58 of the Alberta Employment Standards Code authorizes an employer to terminate your employment without further notice or payments in lieu of notice at: A. The completion of the drilling season B. The completion of the well for which you are being hired; and C. Continued employment is or has become impossible for the employer to perform because of unforeseeable or unpreventible causes beyond our control, i.e.: poor drilling results, decline in the price of crude, oil, wet weather etc.

I certify that the above information supplied by me is true and I understand any statement of fact may be ground for dismissal. I further understand that any offer of employment or continuance of employment be conditional upon passing a company medical and/or drug testing.

Note: This Company has an active Drug and Alcohol policy and employees will be tested.