Employment Application

Name: Arc Energy
Address: 308 N. Fieldspan Road,, Scott, LA, 70583, US
Telephone: 1-888-615-3558

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Please fill out the employment application below.

Applicant Information

Location(Required)

Full Name(Required)

First M.I. Last

Address(Required)

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

Phone(Required)

Email(Required)

Date Available(Required)

MM slash DD slash YYYY

Referred By

Desired Salary(Required)

Shirt Size(Required)

Position Applied for:

Are you a citizen of the United States?(Required)

Yes

If no, are you authorized to work in the U.S.?(Required)

Yes

Have you ever worked for this company?(Required)

Yes

If yes, when?(Required)

Have you ever been convicted of a felony?(Required)

Yes

If yes, explain(Required)

Education

Highschool(Required)

Address

Street Address

From

Did you graduate?(Required)

Yes

Diploma

College

Address

Street Address

From

Did you graduate?

Yes

What is your degree/major in?(Required)

Years Completed?(Required)

Other

Address

Street Address

References

Please list three professional references.

Full Name(Required)

Relationship(Required)

Company

Phone(Required)

Address

Street Address

Full Name(Required)

Relationship(Required)

Company

Phone(Required)

Address

Street Address

Full Name(Required)

Relationship(Required)

Company

Phone(Required)

Address

Street Address

Previous Employment

Company

Phone

Address

Street Address

Supervisor

Job Title

Starting Salary

Ending Salary

From

Reason for Leaving

May we contact your previous employer?

Yes

Company

Phone

Address

Street Address

Supervisor

Job Title

Starting Salary

Ending Salary

From

Reason for Leaving

May we contact your previous employer?

Yes

Resume

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Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Consent(Required)

I agree to the privacy policy and the statement below:

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information on my application or interview may result in my release. In addition, any offer of employment is conditioned on the potential employee passing the required drug and physical examination, background check.

Signature(Required)

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Phone

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Our Locations
Scott, LA
New Iberia, LA
Elk City, OK
Corpus Christi, TX
Houston, TX

Sandy, UT
Midland, TX
Kilgore, TX
Egypt

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Contact Details
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1-888-615-3558
sales@arcenergy.com

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