Application for Field Employment
Division: * Position Applied For: Date Available:
Please indicate any position(s) or division(s) you might be interested in:
Division Position
1. 1.
2. 2.

Have you ever worked for Precision Drilling? * Yes No If Yes, which Division?* Year: Rig:
How did you hear about us? *
Company Rep Word of Mouth Training School Internet Job Bank
Radio Newspaper Bumper Sticker Video/Sign
HRDC/Employment Agency Previous Employee
Employee Referral, by whom: Job Fair/Info Session, which one:
Applicant Information
Last Name: * First Name: * Middle Name(s):
Address: *
City: * Province/State: * Postal Code/Zip:
Country: *
Main Phone: * Alternate Phone: Email:

Are you legally entitled to work in Canada? * Yes No If Yes, select one: CDN Citizen/Permanent Resident Temporary Work Permit
Are you over the age of 18 years? * Yes No
Are you willing to relocate? Yes No
Do you have reliable transportation? * Yes No
Do you have a valid driver's license? * Yes No Class: *
Previous Employment Record
Name and address of last 3 employers, begin with your most recent.
Employer Name & Location Phone No.
(Include area code)		 Position Held
Dates of
Employment
Fr: To:
Reason for
leaving		 Can we contact
the employer for a reference?		 Rig size/
type
1.  
2.  
3.  
Education
Highest Grade Completed: Duration of Study:
Certificate/Diploma/Degree Achieved: Trades:
Certificates (You will be asked to provide original tickets)
2nd Line Well Control Confined Space Food Safe TDG: Clear Language
Boilers Enform Competency Training H2S Alive W.H.M.I.S
BOP: 1st Line Fall Protection Rig Rescue PST/CSTS/IRP-16
BOP: Well Service First Aid Floorhand Training
Rig Technician
Rig Tech ID:
Rig Cert Level:
Other, specify: