APPLICATION FOR EMPLOYMENT

Hawkeye Energy Holdings, LLC and its Affiliates is an at-will, equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or verteran status, disability or any other legally protected status. This application will remain active for 180 days.

*Required Items

General Information

Title of Position and location for Which You are Applying:*
* First Name
Middle Name
Last Name*
Street Address*
City*
State*
Zip*
Home Phone*
Alternate Phone
Email address
Are you 18 or older?*
(If no, you may be required to provide authorization to work) Yes
No
Are you eligible to work in the U.S.?*
Yes
No
Are you able to perform the essential functions of the job(s) for which you are applying with or without an accommodation?* Yes
No
If you require an accommodation, please state the accommodation requested. If you require accommodation to participate in the testing or interviewing process, please also state the accommodation being requested for those activities.

Education - High School

High School or GED
Highest grade completed 10
11
12
Total Number of Credits
Diploma or GED Received? Yes
No
Major & Minor Subjects

Education - College

College, University or Professional School & Location
(List all undergraduate and graduate work)
Dates of Attendance
Total Number of Credits
Degree & Date Received
Major & Minor Subjects

Education - Other

Business, Correspondence, Trade, Technical or Vocational School
Dates of Attendance
Full Time/Part Time
Date Certificate Received or % Completed
Subjects Taken

Legal

During the last seven (7) years, have you ever been convicted of crime other than minor traffic offenses?* Yes
No A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered. Failure to disclose such information may result in disqualification of your application or termination of employment.
If Yes, please provide date/location/charges and any details you wish us to consider:
Have you ever been terminated from employment or asked to resign by an employer?* Yes
No
If Yes, please provide company name(s) and details.

Employment Desired

Date you can start:*
Hourly Rate/Salary Required:*
Position desired:
Are you currently employed? Yes
No
If so, may we contact your present employer? Yes
No
Specify other training you received
(special courses, work training programs etc.)
Current professional licenses, registrations or certificates related to this job.
Give Type and License/Registration Numbers:
Can you work shifts?* Yes
No
Can you work overtime including weekends and holidays?* Yes
No

Professional References

Give the names of three persons not related to you, whom you have known at least three (3) years.
Reference 1 Name:
Company:
Occupation/Title:
Address:
City:
State
Zip
Phone
Email
Relationship (e.g. Co-worker, supervisor, etc.)
Reference 2 Name:
Company:
Occupation/Title:
Address:
City:
State
Zip
Phone
Email
Relationship (e.g. Co-worker, supervisor, etc.)
Reference 3 Name:
Company:
Occupation/Title:
Address:
City:
State
Zip
Phone
Email
Relationship (e.g. Co-worker, supervisor, etc.)
Have you ever applied for employment with the Company or its Affiliates before?* Yes
No
If Yes, When?
Do you have any relatives or friends who work for the Company or its affiliates?* Yes
No
If yes, who and what location(s):
How did you learn of the Company and its opportunities?

Work Experience

Give your present or most recent employment first.

Include military service and volunteer activities; Exclude any organization names which indicate for example race, color, religion, sex, disability, or national origin

Give a complete record of all employment and unemployment during the last 7 years

You may attach a resume in addition to completing this form.
Please indicate any other names used for employment. (e.g. maiden, married etc):
Company 1 Name:
Supervisor Name:
Dates Employed From: To
Address:
City:
State
Zip
Phone
Position(s) Held
May we contact this employer? Yes
No
Please List a Summary of Duties
Salary History Start: End
Reason for Leaving
Company 2 Name:
Supervisor Name:
Dates Employed From: To
Address:
City:
State
Zip
Phone
Position(s) Held
May we contact this employer? Yes
No
Please List a Summary of Duties
Salary History Start: End
Reason for Leaving
Company 1 Name:
Supervisor Name:
Dates Employed From: To
Address:
City:
State
Zip
Phone
Position(s) Held
May we contact this employer? Yes
No
Please List a Summary of Duties
Salary History Start: End
Reason for Leaving

Resume

You may upload your resume here:

Disclaimer

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Hawkeye to hire me. If I am hired, I understand that either Hawkeye or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Hawkeye has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Hawkeye true and complete information on this application. No requested information has been concealed. I authorize Hawkeye to contact references provided for employment reference checks. If any information I have provided is untrue, or I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

I acknowledge that the Company reserves the right to require drug testing and background checks as part of its selection process.
Hawkeye Energy Holdings conducts pre-employment drug testing as part of the application process. Applicants may request a copy of our drug testing policy to further review our standards and types of testing.

I acknowledge that I have been advised of the information stated above.