Drilling & Workover Personnel Application

( Texas & Oklahoma Operations )

Personal Information

Full Name *

Email *

Phone *

Date of birth *

City *

State *

Are you legally authorized to work in the United States? *

Yes

No

Do you have reliable transportation to job sites? *

Yes

No

Emergency Contact Information

Emergency Contact Name *

Relationship to Applicant: *

Emergency Contact Phone Number: *

Alternate Phone Number (Optional):

Position Applied For

Years of Experience in Drilling/Workover Operations:

Oilfield Experience

Type of Experience:

Drilling Rig

Workover Rig

Both

Rig Types Worked On:

Land

Offshore

Equipment Experience

Certifications & Training

Valid Driver’s License

Yes

No

CDL (if applicable):

Yes

No

Well Control Certification (IADC / IWCF):

Yes

No

H2S Certification:

Yes

No

First Aid / CPR:

Yes

No

OSHA or Rig Safety Training:

Yes

No

Other Certifications (please list):

Work Schedule, Travel & Availability

Availability:

Full-Time

Part-Time

Contract

Willing to work:

Day Shifts

Night Shifts

Rotational Schedules

Willing to travel to remote job sites as required?

Yes

No

Willing to remain on-site for more than 20 consecutive days?

Yes

No

Acknowledgment that 12-hour shifts are mandatory for drilling operations?

Yes

No

Earliest Available Start Date:

Physical & Safety Requirements

Able to lift 50–75 lbs repeatedly?

Yes

No

Able to work in extreme weather conditions?

Yes

No

Able to pass:

Drug Test

Yes

No

Background Check

Yes

No

Previous Employment

Most Recent Employer:

Job Title:

Length of Employment:

Supervisor Name & Contact (Optional):

Reason for Leaving:

References 1

Name of Reference 1

Company

Phone Number:

References 2

Name of Reference 2

Company 2

Phone Number 2

Additional Information

Brief Summary of Oilfield Skills & Experience:

Any safety incidents in the last 5 years?

Yes

No

If yes, please explain:

Mandatory Acknowledgment – Drilling & Workover Conditions
(Texas & Oklahoma Operations)

I understand that drilling and workover operations in Texas and Oklahoma may require travel to remote job sites, extended periods on location, and 12-hour shifts as part of normal operations. I acknowledge that assignments may require me to remain on site for more than 20 consecutive days, depending on operational needs.

I understand that work schedules, rotations, and time off will be managed in accordance with applicable Texas and Oklahoma labor laws, company policies, and safety regulations. I confirm that I am physically able to perform the essential duties of the position and will follow all company safety rules, training requirements, and site-specific procedures.

I acknowledge that the company is committed to maintaining a safe work environment and providing required rest periods, and I agree to communicate promptly with supervisors regarding fatigue, safety concerns, or scheduling issues.

I have read, understand, and agree to the drilling and workover conditions stated above.

Application Date:

I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge.

Applicant Signature (Typed Name):

Clear

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